SearchOhioIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Matthew Tekaucic

NPI 1356945893 · on the registry since 2020 · sole proprietor

Practice

Address
286 Baird Ave
Wadsworth, OH 44281
Phone
(330) 441-2311

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-25

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