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Organization
ATHENS COUNTY DEPARTMENT OF JOB & FAMILY SERVICES
Active
Organization
ATHENS COUNTY DEPARTMENT OF JOB & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA B WALLACE MHSA (DIRECTOR OF HEALTH SERVICES)
(740) 592-4477
Entity
Organization
Contact information
Practice address
184 N LANCASTER ST, ATHENS, OH 45701-1605
(740) 592-4477
(740) 593-6373
Mailing address
184 N LANCASTER ST, ATHENS, OH 45701-1605
(740) 592-4477
(740) 593-6373
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0850771
—
OH
01
—
412314
PASSPORT TITLE III
OH
Enumeration date
05/18/2007
Last updated
08/22/2020
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