Organization · Type 2 NPI

Guadalupe Home

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Avon, OH

NPI number 1013168111 Active

Practice location

38023 Colorado Ave
Avon, OH 44011-1026

Fax (440) 934-4799

Mailing address

38135 Colorado Ave
Avon, OH 44011-1028

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X4710076 (OH)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1013168111

Guadalupe Home's National Provider Identifier is 1013168111, issued on Oct 7, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Avon, OH. The record was last updated on Oct 7, 2008.