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Organization

SOUTHERN OHIO INTEGRATED SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KYLE W BOGGS SR. (PRESIDENT)
(513) 582-1069
Entity
Organization

Contact information

Practice address
103 DAY RD, MOUNT ORAB, OH 45154-8924
(937) 444-0044
(937) 444-0048
Mailing address
3290 MUSGROVE RD, WILLIAMSBURG, OH 45176-9151
(513) 582-1069
(937) 444-0044

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
09/26/2016
Last updated
09/26/2016
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