| 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 |
| 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 |