IndividualActive
Anthony Passalacqua
NPI 1053917005 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Twinsburg, OH
Provider details
- NPI number
- 1053917005
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
2789 Mathers Way
Twinsburg, OH 44087-2625
Registry dates
- Enumerated
- 2020-12-07
- Last updated
- 2020-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.