Organization
FAIRFIELD CO. BOARD OF MRDD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PEKAR (SUPERINTENDENT)
(740) 687-7244
Entity
Organization
Contact information
Practice address
795 COLLEGE AVE, LANCASTER, OH 43130-1082
(740) 687-7244
(740) 687-7250
Mailing address
795 COLLEGE AVE, LANCASTER, OH 43130-1082
(740) 687-7244
(740) 687-7250
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0776076
—
OH
Enumeration date
02/06/2007
Last updated
08/22/2020
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