Our Lady Of The Wayside

LBN: Our Lady Of The Wayside
Our Lady Of The Wayside is an health care organization with primary practice located at 38135 Colorado Ave , Avon OH 44011-1028. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Our Lady Of The Wayside can be contacted via phone (440) 934-6007, or through Davis, Terry via phone (440) 934-6007.

Contact Information

Primary practice address
38135 Colorado Ave Avon OH 44011-1028
Phone: (440) 934-6007
Fax: (440) 934-6327
Website:
Map and Directions
Authorized official contact:
Name: Davis, Terry
Phone: (440) 934-6007

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 4700514 Ohio

Profile Details

NPI number 1306069752
LBN Legal business name Our Lady Of The Wayside
DBA Doing business as
Authorized official Davis, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Aug 29th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306069752 NPPES
Ohio Other 4700514 OUR LADY OF THE WAYSIDE

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