Individual provider · Type 1 NPI
Tanya Hairston
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · East Cleveland, OH
Practice location
13417 4th Ave
East Cleveland, OH 44112-3113
Fax (440) 210-7833
Mailing address
PO Box 29025
Parma, OH 44129-0025
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 1356087449
Tanya Hairston's National Provider Identifier is 1356087449, issued on May 11, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in East Cleveland, OH. The record was last updated on May 11, 2022.