Organization
PBHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDY JANE DINGESS LPN (NURSE)
(740) 343-0733
Entity
Organization
Contact information
Practice address
203 N MAIN ST, NEW LEXINGTON, OH 43764-1264
(740) 342-1991
(740) 342-2914
Mailing address
203 N MAIN ST, NEW LEXINGTON, OH 43764-1264
(740) 342-1991
(740) 342-2914
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
PN 100107
OH
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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