Organization
PIKE CO BOARD OF DD
Active
Parent organization
PIKE COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIKE COUNTY
Authorized official
JEFF ALLEN (SUPERINTENDENT)
(740) 947-8470
Entity
Organization
Contact information
Practice address
330 E. NORTH ST., WAVERLY, OH 45690
(740) 947-8470
(740) 947-8472
Mailing address
330 E. NORTH ST., WAVERLY, OH 45690
(740) 947-8470
(740) 947-8472
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2567593
—
OH
01
—
6600011
DEPT. OF DEVELOPMENTAL DISABILITIES
OH
Enumeration date
10/14/2022
Last updated
10/14/2022
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