Organization
NORTHWEST ADULT SERVICES LLC
Active
Parent organization
NORTHWEST ADULT SERVICES
Other names
Northwest Adult Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST ADULT SERVICES
Authorized official
MRS. LEIGH MILTIMORE (REGIONAL ADMINISTRATOR)
(740) 808-1640
Entity
Organization
Contact information
Practice address
6435 DIXIE HWY, FAIRFIELD, OH 45014-5421
(513) 493-2544
(800) 864-3906
Mailing address
6435 DIXIE HWY, FAIRFIELD, OH 45014-5421
(513) 493-2544
(800) 864-3906
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
3925642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179002
—
OH
Enumeration date
10/31/2016
Last updated
05/22/2023
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