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Organization
MEDINA COUNTY BOARD OF MR/DD
Active
Organization
MEDINA COUNTY BOARD OF MR/DD
Active
Other names
MCAC - Medina County Achievement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY COERVER (BUSINESS MANAGER)
(330) 725-7751
Entity
Organization
Contact information
Practice address
4691 WINDFALL RD, MEDINA, OH 44256-8705
(330) 725-7751
(330) 722-4854
Mailing address
4691 WINDFALL RD, MEDINA, OH 44256-8705
(330) 725-7751
(330) 722-4854
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0671312
—
OH
05
—
2567306
—
OH
Enumeration date
09/29/2006
Last updated
09/11/2025
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