Individual provider · Type 1 NPI
Edison Stawowy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fremont, OH
Practice location
326 County Road 119
Fremont, OH 43420-9384
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.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Fremont
About NPI 1679469225
Edison Stawowy's National Provider Identifier is 1679469225, issued on Jun 17, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fremont, OH. The record was last updated on Jun 26, 2025.