Organization
MJW ADULT DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA S HUFFMAN (DIRECTOR OF OPERATIONS)
(937) 798-0222
Entity
Organization
Contact information
Practice address
134 WALNUT ST, PEEBLES, OH 45660-1260
(937) 798-0222
Mailing address
134 WALNUT ST, PEEBLES, OH 45660-1260
(937) 798-0222
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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