Individual provider · Type 1 NPI
Antonia Lynn Bolar
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bedford Heights, OH
Practice location
409 Center Rd Apt 3
Bedford Heights, OH 44146-2262
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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Bedford Heights
About NPI 1790505220
Antonia Lynn Bolar's National Provider Identifier is 1790505220, issued on Oct 10, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bedford Heights, OH. The record was last updated on Oct 10, 2024.