Ohio Group Home of Middletown LLC
NPI #1669129219 in Middletown, Ohio
Provider Information
- NPI Number
- 1669129219
- Entity Type
- Organization
- Organization Name
- Ohio Group Home of Middletown LLC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Mar 3, 2022
- Last Updated
- Mar 3, 2022
Practice Location
- Address
- 3100 S MAIN ST
- City
- Middletown
- State
- Ohio
- ZIP Code
- 45044-7421
- Phone
- (845) 205-6813
Authorized Official
- Name
- DAVID LAURDERDALE
- Title
- MANAGER
- Phone
- (845) 205-6813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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