Antonia Lynn Bolar
Antonia Lynn Bolar is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bedford Hts, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
409 Center Rd Apt 3Bedford Hts, OH 44146-2262
Phone: (216) 854-5969
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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 |
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Record details
| NPI number | 1790505220 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 10, 2024 |
| Last updated in NPPES | October 10, 2024 |
| Certification date | October 10, 2024 |
| Mailing address | 409 Center Rd Apt 3, Bedford Hts, OH 44146-2262 |