MEDICARE: LIVING ARRANGEMENTS FOR THE DEVELOPMENTALLY DISABLED, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1619015377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING ARRANGEMENTS FOR THE DEVELOPMENTALLY DISABLED, INC.

Provider Business Mailing Address
First Line	:	3603 VICTORY PKWY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2207
Country	:	US
Telephone Number	:	513-861-5233
Fax Number	:	513-861-5381

Provider Business Practice Location Address
First Line	:	3603 VICTORY PKWY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2207
Country	:	US
Telephone Number	:	513-861-5233
Fax Number	:	513-861-5381

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR - OFFICER
Name	:	MR. DAVID ROBINSON
Credential	:
Telephone Number	:	513-861-5233

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	08/22/2020

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