# COUNTY OF WAYNE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAYNE COUNTY
- **Other names:** Wayne County MHMR
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760520779
- **Legal business name:** WAYNE COUNTY
- **Authorized official:** MARGARET ENNIS (MHMR ADMINISTRATOR)
- **Authorized official phone:** (570) 253-9200

## Contact information

- **Practice address:** 648 PARK ST, SUITE A, HONESDALE, PA 18431-1446
- **Practice address phone:** (570) 253-9200
- **Mailing address:** 648 PARK ST, SUITE A, HONESDALE, PA 18431-1446
- **Mailing address phone:** (570) 253-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 09/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017310820005 | — | PA |
