Organization
PIKE COUNTY BOARD OF MRDD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY LYNN FYFFE (ADMINISTRATIVE ASSISTANT)
(740) 289-1681
Entity
Organization
Contact information
Practice address
10 AMERICAN BLVD, PIKETON, OH 45661-9108
(740) 289-1681
(740) 289-8923
Mailing address
10 AMERICAN BLVD, PIKETON, OH 45661-9108
(740) 289-1681
(740) 289-8923
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0884584
—
OH
Enumeration date
03/19/2007
Last updated
08/22/2020
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