Organization
PIKE COUNTY BOARD OF MRDD
Active
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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