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“Intellectual And/or Developmental Disabilities Community Based Residential Treatment Facility” (Shade, OH)

Location: Shade, OH
Taxonomy: Intellectual And/or Developmental Disabilities Community Based Residential Treatment Facility.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1477279446 — CRYSTAL RAE WILSON
Practice Location Address:
40328 BURLINGHAM RD
SHADE OH
45776-9505
Practice Phone: 740-590-9205

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