Gerald Heintzelman

NPI #1578301172 in Massillon, Ohio

Provider Information

NPI Number: 1578301172
Entity Type: Individual
Name: Gerald Heintzelman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 17, 2024
Last Updated: Jul 17, 2024

Practice Location

Address: 411 THOMAS CIR NE
City: Massillon
State: Ohio
ZIP Code: 44646-4976
Phone: (330) 418-6700

Specialties & Taxonomy Codes

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

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