Individual provider · Type 1 NPI
Anthony Passalacqua
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Twinsburg, OH
Practice location
2789 Mathers Way
Twinsburg, OH 44087-2625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1053917005
Anthony Passalacqua's National Provider Identifier is 1053917005, issued on Dec 7, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Twinsburg, OH. The record was last updated on Dec 7, 2020.