Individual provider · Type 1 NPI
Matthew J. Tekaucic
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wadsworth, OH
Practice location
286 Baird Ave
Wadsworth, OH 44281-2220
Mailing address
559 Crestwood Ave
Wadsworth, OH 44281-1928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 5213901 (OH) |
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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Wadsworth
About NPI 1356945893
Matthew J. Tekaucic's National Provider Identifier is 1356945893, issued on Nov 25, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Wadsworth, OH. The record was last updated on Nov 25, 2020.