Elaine Muncy

Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Felicity, OH

NPI 1407632540 · NPPES record last updated Sep 5, 2023

Key facts

NPI
1407632540
Entity type
Individual (NPI type 1)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Practice address
560 Wooded Run Rd
Felicity, OH 45120-9500
Phone
(513) 876-6081
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

560 Wooded Run Rd
Felicity, OH 45120-9500

Mailing address

560 Wooded Run Rd
Felicity, OH 45120-9500
Phone (513) 876-6081

Other providers in Felicity, OH

All providers in Felicity, OH · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

Sources for this page

Verify at the official NPI Registry.