Our Lady of the Wayside
Our Lady of the Wayside is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Avon, Ohio. Licensed in Ohio. Registered with an NPI since 2007.
- Licensed in
- OH
- In the registry since
- 2007
Practice location Address checks out
38135 Colorado AveAvon, OH 44011-1028
Phone: (440) 934-6007
Fax: (440) 934-6327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 4700514 (OH) |
|---|
Record details
| NPI number | 1306069752 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Terry Davis — Ceo · (440) 934-6007 |
| NPI enumerated | April 11, 2007 |
| Last updated in NPPES | August 29, 2008 |
| Mailing address | 38135 Colorado Ave, Avon, OH 44011-1028 |
Other providers in Avon
-
Guadalupe Home
38023 Colorado Ave, Avon, OH 44011-1026 · (440) 934-4825