Licking County Board Of Mrdd

NPI 1295860724 - Case Management - 251B00000X

NPI Details
NPI 1295860724
Enumeration Date 02/23/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY GARY
Position DIRECTOR OF FINANCE
Phone (740) 349-6588
Fax (740) 349-6595
Practice Location
65 W CHURCH ST
NEWARK OH, 43055-5013, US
Phone (740) 349-6588
Fax (740) 349-6595
Business Location
65 W CHURCH ST
NEWARK OH, 43055-5013, US
Phone (740) 349-6588
Fax (740) 349-6595
Toxanomy
Taxonomy Code 251B00000X
License State Ohio
License Number 4500016
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According to our database, Licking County Board Of Mrdd NPI is 1295860724, taxonomy code is 251B00000X and license number is 4500016, license state is located at Ohio. Licking County Board Of Mrdd physically located at 65 W Church St, Newark OH, 43055-5013. NPI Number 1033115704 has the healthcare provider type.

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1295860724 NPI number is provided on an as is basis without warranty of any kind. 1295860724 is maintained by the National Plan & Provider Enumeration System. The contents of Licking County Board Of Mrdd are for informational purposes only.