Individual provider · Type 1 NPI

Shamso Yusuf Idd

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

NPI number 1023875994 Active

Practice location

1415 E Dublin Granville Rd Ste 203
Columbus, OH 43229-3311

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

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 1023875994

Shamso Yusuf Idd's National Provider Identifier is 1023875994, issued on Mar 6, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Columbus, OH. The record was last updated on Mar 6, 2024.