Doctor Name: | BURL WARRICK |
NPI Number: | 1205243300 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | COTA/L |
License Number: | 03835 |
Business Practice Address: | 748 Sophia St East Liverpool, OH - 439202614 |
Business Phone Number: | 3307080700 |
Business Fax Number: | |
Mailing Address: | 748 Sophia St, EAST LIVERPOOL |
State: | OH |
Postal Code: | 439202614 |
Phone Number: | 3307080700 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2014 |
NPI Last Update Date: | 07/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320700000X |
License Number: | 03835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |