Organization · Type 2 NPI
L.e.e.d.a. Services, Inc.
Intellectual Disabilities Intermediate Care Facility · Massillon, OH
NPI number
1912103433
Active
Practice location
1620 Forest Avenue SE
Massillon, OH 44647
Fax (330) 833-7732
Mailing address
11 Lincoln Way W, 5A
Massillon, OH 44647-6585
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0615043 (OH) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1912103433
L.e.e.d.a. Services, Inc.'s National Provider Identifier is 1912103433, issued on Jun 22, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Massillon, OH. The record was last updated on Aug 2, 2007.