Individual provider · Type 1 NPI
Allison Lucas
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Delaware, OH
Practice location
7495 Coachmen Ln
Delaware, OH 43015-7046
Mailing address
22428 Fostoria Rd
Woodville, OH 43469-9708
Other practice locations
- 22428 Fostoria Rd, Woodville, OH 43469-9708 · (419) 345-9608
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
About NPI 1871217752
Allison Lucas's National Provider Identifier is 1871217752, issued on Oct 3, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Delaware, OH. The record was last updated on Oct 3, 2022.