Organization
PIKE CO BOARD OF DD
Active
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
Update your record
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