Organization
WEST HOMES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS E WESTMILL (INFORMATION TECHNOLOGY MANAGER)
(330) 340-5291
Entity
Organization
Contact information
Practice address
728 N 1ST ST, DENNISON, OH 44621-1002
(740) 922-5554
Mailing address
1066 BERNARD RD, COLUMBUS, OH 43221-1610
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
25929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2527199
MRDD BILLING SYSTEM
OH
Enumeration date
04/19/2007
Last updated
08/22/2020
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