Organization
CENTER FOR DISABILITY SERVICES
Active
Other names
The Arc of Licking County
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGAN EVELAND (CEO)
(740) 344-2995
Entity
Organization
Contact information
Practice address
667 HOPEWELL DRIVE, HEATH, OH 43056
(740) 344-2995
(740) 344-8335
Mailing address
667 HOPEWELL DRIVE, HEATH, OH 43056
(740) 344-2995
(740) 344-8335
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0873050
—
OH
01
—
4300169
DODD WALVER PROVIDER
OH
Enumeration date
10/14/2020
Last updated
10/14/2020
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