Organization
MIKAYLAS MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA KAY COUGHENOUR (DIRECTOR/OWNER)
(330) 933-4795
Entity
Organization
Contact information
Practice address
2215 E WATERLOO RD STE 104, AKRON, OH 44312-3818
(330) 933-4795
Mailing address
7801 PROUTY RD, LODI, OH 44254-9614
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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