Anthonys Villa Residential Services L.l.c.

NPI #1811697501 in Sandusky, Ohio

Provider Information

NPI Number: 1811697501
Entity Type: Organization
Organization Name: Anthonys Villa Residential Services L.l.c.
Primary Specialty: Respite Care
Enumeration Date: Mar 9, 2023
Last Updated: May 21, 2023

Practice Location

Address: 1031 PIERCE ST STE 306
City: Sandusky
State: Ohio
ZIP Code: 44870-4669
Phone: (567) 290-2658

Authorized Official

Name: ANTHONY CAMPBELL
Title: CEO
Phone: (567) 290-2658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Registered Nurse - Case Management — Case Management	163WC0400X
Health & Wellness Coach	171400000X
Case Manager/Care Coordinator	171M00000X
Driver	172A00000X
Community/Behavioral Health	251S00000X
Foster Care Agency	253J00000X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X
Prevention Professional	405300000X
Respite Care	385H00000X	Primary

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