OrganizationActive
Differently Abled, Inc.
NPI 1902938236 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Painesville, OH
Provider details
- NPI number
- 1902938236
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Emerson Stocks, President(440) 254-3207
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
13760 Maggie Ln
Painesville, OH 44077-8726
Phone: (440) 254-3207
Fax: (440) 254-3207
Approximate (ZIP-level) locationGet directions
Mailing address
13760 Maggie Ln
Painesville, OH 44077-8726
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.