Individual
HEATHER MORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N COLUMBUS ST REAR, LANCASTER, OH 43130-1734
(561) 876-8500
Mailing address
915 N COLUMBUS ST REAR, LANCASTER, OH 43130-1734
(561) 876-8500
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000306687
—
OH
Enumeration date
08/29/2022
Last updated
08/29/2022
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