Matthew J Tekaucic

NPI #1356945893 in Wadsworth, Ohio

Provider Information

NPI Number: 1356945893
Entity Type: Individual
Name: Matthew J Tekaucic
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 25, 2020
Last Updated: Nov 25, 2020

Practice Location

Address: 286 BAIRD AVE
City: Wadsworth
State: Ohio
ZIP Code: 44281-2220
Phone: (330) 441-2311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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