L.e.e.d.a. Services, Inc.

NPI #1912103433 in Massillon, Ohio

Provider Information

NPI Number: 1912103433
Entity Type: Organization
Organization Name: L.e.e.d.a. Services, Inc.
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Jun 22, 2007
Last Updated: Aug 2, 2007

Practice Location

Address: 1620 FOREST AVENUE SE
City: Massillon
State: Ohio
ZIP Code: 44647
Phone: (330) 833-7993

Authorized Official

Name: MRS. CONNIE A HORNBECK
Title: BUSINESS MANAGER
Phone: (330) 833-7993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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