Gerald Heintzelman
Gerald Heintzelman is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Massillon, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
411 Thomas Cir NEMassillon, OH 44646-4976
Phone: (330) 418-6700
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
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Record details
| NPI number | 1578301172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2024 |
| Last updated in NPPES | July 17, 2024 |
| Certification date | July 17, 2024 |
| Mailing address | 411 Thomas Cir Ne, Massillon, OH 44646-4976 |