Organization
FAYETTE COUNTY BOARD OF MRDD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN HILGEMAN (SUPERINTENDENT)
(740) 335-7453
Entity
Organization
Contact information
Practice address
1330 ROBINSON RD SE, WASHINGTON COURT HOUSE, OH 43160-9201
(740) 335-7453
(740) 335-2185
Mailing address
1330 ROBINSON RD SE, WASHINGTON COURT HOUSE, OH 43160-9201
(740) 335-7453
(740) 335-2185
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2400011
—
OH
Enumeration date
04/13/2007
Last updated
09/11/2025
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