ST. JOHN'S VILLA is a residential treatment facility, intellectual and/or developmental disabilities in Carrollton, OH. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. ST. JOHN'S VILLA NPI is 1174691927. The provider is registered as an organization entity type.
The provider's business location address is:
701 CREST ST NW
CARROLLTON, OH
ZIP 44615-425
Phone: (330) 627-9789
Fax: (330) 627-4826
The provider's authorized official is David L. Lyon .
The authorized official title is President and has the following contact phone number (330) 627-9789.
The CLIA number assigned to this NPI record is 36D2243311 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/1/2006 and was last updated on 6/16/2008.