NPI | 1659445294 |
---|---|
Doing Business As | LOCKLAND HOME |
Entity Type | Organization |
Authorized Contact | MICHAEL W ALLEN Vice President, Finance & Facilitie 937-436-6885 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 3112625) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2020-12-23 |