IndividualActive
Brian Dalton
NPI 1760314546 · Child Intellectual and/or Developmental Disabilities Respite Care · Ravenna, OH
Provider details
- NPI number
- 1760314546
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respite Care Facility
Practice location
3235 Sandy Lake Rd
Ravenna, OH 44266-9553
Phone: (330) 990-6070
Approximate (ZIP-level) locationGet directions
Mailing address
3235 Sandy Lake Rd
Ravenna, OH 44266-9553
Registry dates
- Enumerated
- 2026-06-03
- Last updated
- 2026-06-03
- Certified
- 2026-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.