Ashlee Herbold

NPI #1881071272 in Ottawa, Illinois

Provider Information

NPI Number: 1881071272
Entity Type: Individual
Name: Ashlee Herbold
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 5, 2015
Last Updated: Jul 24, 2018

Practice Location

Address: 1718 N 2525TH RD
City: Ottawa
State: Illinois
ZIP Code: 61350
Phone: (815) 434-0737

Specialties & Taxonomy Codes

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

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