IndividualActive
Anthony Ieraci
NPI 1467048470 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Canfield, OH
Provider details
- NPI number
- 1467048470
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5005902 (OH)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 5005902 (OH)
Residential Treatment Facilities
Practice location
3680 Starrs Centre Dr
Canfield, OH 44406-9514
Phone: (330) 967-4056
Approximate (ZIP-level) locationGet directions
Mailing address
3680 Starrs Centre Dr
Canfield, OH 44406-9514
Registry dates
- Enumerated
- 2020-12-14
- Last updated
- 2020-12-14
- Certified
- 2020-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.