Individual provider · Type 1 NPI
Richard Alan Brown, VP OF IDD, COO
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hartville, OH
Practice location
640 Menlo Park St SW
Hartville, OH 44632-9698
Mailing address
880 Sunnyside St SW
Hartville, OH 44632-9087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 7601796 (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.
Another provider at this address
About NPI 1023600400
Richard Alan Brown, VP OF IDD, COO's National Provider Identifier is 1023600400, issued on Feb 8, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Hartville, OH. The record was last updated on Feb 16, 2021.