Organization
OTTAWA VALLEY CENTER, INC.
Active
Organization
OTTAWA VALLEY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY A PERRINE (ADMINISTRATOR/EXECUTIVE DIRECTOR)
(419) 999-5260
Entity
Organization
Contact information
Practice address
1325 S SERIFF RD, LIMA, OH 45805-2818
(419) 999-5260
Mailing address
1325 S SERIFF RD, LIMA, OH 45805-2818
(419) 999-5260
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200197
OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
OH
05
—
2001943
—
OH
Enumeration date
07/15/2020
Last updated
07/15/2020
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