Amberdawn E Kenworthy-Byers
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greenville, OH. Individual provider (NPI-1).
NPI number1164039244
StatusActive
Last updated in NPPESSep 23, 2020
Details
- NPI
- 1164039244
- Entity type
- Individual (NPI-1)
- Name
- Amberdawn E Kenworthy-Byers
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2020
- Certification date
- Sep 23, 2020
- Last updated
- Sep 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | OH | Yes |
Practice location
3746 Hickory LnGreenville, OH 45331-3014
Phone 937-547-1934
Mailing address
3746 Hickory LnGreenville, OH 45331-3014
Phone 937-547-1934
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