Our Lady of the Wayside
NPI #1306069752 in Avon, Ohio
Provider Information
- NPI Number
- 1306069752
- Entity Type
- Organization
- Organization Name
- Our Lady of the Wayside
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Aug 29, 2008
Practice Location
Authorized Official
- Name
- MR. TERRY DAVIS
- Title
- CEO
- Phone
- (440) 934-6007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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