Anthony Passalacqua

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1053917005

Anthony Passalacqua is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Twinsburg, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since: 2020

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Practice location Address checks out

2789 Mathers Way
Twinsburg, OH 44087-2625
Phone: (216) 548-7997

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Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X

Record details

NPI number	1053917005
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	December 7, 2020
Last updated in NPPES	December 7, 2020
Certification date	December 7, 2020
Mailing address	2789 Mathers Way, Twinsburg, OH 44087-2625