Eastwood Residential Living, Inc.

NPI #1750163713 in Madison, Ohio

Provider Information

NPI Number: 1750163713
Entity Type: Organization
Organization Name: Eastwood Residential Living, Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 16, 2023
Last Updated: Oct 16, 2023

Practice Location

Address: 6455 N RIDGE RD UNIT 1
City: Madison
State: Ohio
ZIP Code: 44057-2516
Phone: (440) 344-1158

Authorized Official

Name: HEATHER VICTOR, MBA
Title: PRESIDENT
Phone: (440) 344-1158

Specialties & Taxonomy Codes

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

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