IndividualActive
Erin Demoss
NPI 1336715994 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Southington, OH
Provider details
- NPI number
- 1336715994
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7803364 (OH)
Practice location
5089 State Route 305
Southington, OH 44470-9714
Phone: (133) 064-6114
Mailing address
5089 State Route 305
Southington, OH 44470-9714
Registry dates
- Enumerated
- 2021-06-03
- Last updated
- 2021-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.