NPI 1023600400

Richard Alan Brown, VPOFIDDCOO

Practitioner Intellectual and/or Developmental Disabilities Residential Treatment Facility Hartville, OH

Practice location

Address: 640 Menlo Park St SW, Hartville, OH 44632-9698
Phone: (330) 877-7000
Mailing address: 880 Sunnyside St SW, Hartville, OH 44632-9087

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 7601796 (OH)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Ohio →

Registry record

NPI: 1023600400
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2021
Record last updated: 16 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.