Provider Demographics
NPI:1265560759
Name:RECREATION UNLIMITED FARM & FUN
Entity type:Organization
Organization Name:RECREATION UNLIMITED FARM & FUN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTTLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-548-7006
Mailing Address - Street 1:7700 PIPER RD
Mailing Address - Street 2:
Mailing Address - City:ASHLEY
Mailing Address - State:OH
Mailing Address - Zip Code:43003-9741
Mailing Address - Country:US
Mailing Address - Phone:740-548-7006
Mailing Address - Fax:740-747-2640
Practice Address - Street 1:7700 PIPER RD
Practice Address - Street 2:
Practice Address - City:ASHLEY
Practice Address - State:OH
Practice Address - Zip Code:43003-9741
Practice Address - Country:US
Practice Address - Phone:740-548-7006
Practice Address - Fax:740-747-2640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2050XRespite Care FacilityRespite CareRespite Care Camp
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2100612Medicaid