Organization · NPI-2

A L Anderson House Ltd

Custodial Care Facility · Dayton, OH

NPI number1831718212

StatusActive

Last updated in NPPESApr 15, 2020

Details

NPI: 1831718212
Entity type: Organization (NPI-2)
Legal business name: A L Anderson House Ltd
Organization subpart: No
Enumeration date: Apr 15, 2020
Certification date: Apr 15, 2020
Last updated: Apr 15, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
311Z00000X	Custodial Care Facility	–	–	Yes
174200000X	Meals	–	–
251B00000X	Case Management	–	–
251S00000X	Community/Behavioral Health	–	–
315P00000X	Intermediate Care Facility, Intellectual Disabilities	–	–
347C00000X	Private Vehicle	–	–
385H00000X	Respite Care	–	–

Practice location

238 Audubon Park
Dayton, OH 45402-6312

Phone 513-602-0695

Mailing address

238 Audubon Park
Dayton, OH 45402-6312

Phone 513-602-0695

Authorized official

Audrey Lynn Anderson
Director
5136020695

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