Organization
OHIOGUIDESTONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE ANN HARRINGTON (DIRECTOR OF REVENUE CYCLE)
(419) 330-5069
Entity
Organization
Contact information
Practice address
3094 W MARKET ST STE 105, FAIRLAWN, OH 44333-3617
(440) 260-2913
Mailing address
343 W BAGLEY RD, BEREA, OH 44017-1370
(440) 260-8300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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