NPI | 1063280030 |
---|---|
Doing Business As | LAXO RESIDENTIAL |
Entity Type | Organization |
Authorized Contact | SHAWN DIXON Co Owner 937-270-2824 |
Organization Subpart ? | No |
Primary Taxonomy | 177F00000X Lodging |
Additional Taxonomies | 174200000X Meals |
251B00000X Case Management | |
251K00000X Public Health or Welfare | |
251E00000X Home Health | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
261QR0800X Clinic/Center, Recovery Care | |
310500000X Intermediate Care Facility, Mental Illness | |
251S00000X | |
261QM0850X Clinic/Center, Adult Mental Health | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
324500000X Substance Abuse Rehabilitation Facility | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2023-12-19 |
Last Update Date | 2023-12-19 |