Organization
OHIO VALLEY ADULT DAY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M HENSLEY BOGGS MBA (OWNER)
(513) 582-1392
Entity
Organization
Contact information
Practice address
411 APPLE ST, MOUNT ORAB, OH 45154-7524
(513) 582-1392
(937) 356-3966
Mailing address
411 APPLE ST, MOUNT ORAB, OH 45154-7524
(513) 582-1392
(937) 356-3966
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089776
—
OH
01
—
0801092
DODD
OH
Enumeration date
12/02/2020
Last updated
12/02/2020
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