| Organization Name: | HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES |
| NPI Number: | 1558664771 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL MANFULL (CFO) |
| Mailing Address: | 9772 Diagonal Road Mantua |
| State: | OH US |
| Postal Code: | 44255 |
| Phone Number: | 3302742272 |
| Fax Number: | 3307322467 |
| NPI Enumeration Date: | 12/09/2010 |
| NPI Last Update Date: | 09/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3140N1450X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Skilled Nursing Facility |
| Taxonomy Specialization: | Nursing Care, Pediatric |
| Taxonomy Definition: | A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |