Organization · Type 2 NPI
Our Lady of the Wayside
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Avon, OH
Practice location
38135 Colorado Ave
Avon, OH 44011-1028
Fax (440) 934-6327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 4700514 (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.
2 other providers at this address
Other intellectual and/or developmental disabilities residential treatment facility providers in Avon
About NPI 1306069752
Our Lady of the Wayside's National Provider Identifier is 1306069752, issued on Apr 11, 2007. 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 Aug 29, 2008.