Guadalupe Home

NPI #1013168111 in Avon, Ohio

Provider Information

NPI Number: 1013168111
Entity Type: Organization
Organization Name: Guadalupe Home
Subpart: Yes (part of a larger organization)
Parent Organization: OUR LADY OF THE WAYSIDE
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 7, 2008
Last Updated: Oct 7, 2008

Practice Location

Address: 38023 COLORADO AVE
City: Avon
State: Ohio
ZIP Code: 44011-1026
Phone: (440) 934-4825

Authorized Official

Name: MRS. SHIRLEY SHARP
Title: BUSINESS ADMINISTRATOR
Phone: (440) 934-6152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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