SearchOhio320600000X

Richard Brown, VP OF IDD, COO

NPI 1023600400 · on the registry since 2021 · sole proprietor

Practice

Address
640 Menlo Park St Sw
Hartville, OH 44632
Phone
(330) 877-7000
Organisation at this address
Gentlebrook
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
320600000X
320600000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio