Most Relevant Information
Provider Data
| NPI Number: | 1003501537 |
| Provider Name: | REBECCA TAYLOR ROBERTSON |
| Entity Type: | Individual |
| Taxonomy Code: | 320600000X |
| Specialty: | Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2023 |
| Last Updated: | 04/10/2023 |
Provider Practice Location
2930 FAIR OAKS DR
NORTON
OH
442036326
Practice Location Phone/Fax
| Phone: | 3306015365 |
| Fax: |
Provider Mailing Location
2930 FAIR OAKS DR
NORTON
OH
442036326
Provider Mailing Phone/Fax
| Phone: | 3306015365 |
| Fax: |