Charisse Ali, LLC a Lasting Impression
Charisse Ali, LLC a Lasting Impression is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ashtabula, Ohio. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1440 W Prospect RdAshtabula, OH 44004-6668
Phone: (440) 319-2078
Fax: (440) 998-5820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1063008670 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charisse Ali — Ceo/Owner · (440) 319-2078 |
| NPI enumerated | December 17, 2020 |
| Last updated in NPPES | December 17, 2020 |
| Certification date | December 17, 2020 |
| Mailing address | Po Box 548, Ashtabula, OH 44005-0548 |
Other providers in Ashtabula
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Charisse Lillian Ali
1440 W Prospect Rd, Ashtabula, OH 44004-6668 · (440) 319-2078