Organization
PERRY COUNTY BOARD OF MRDD
Active
Other names
Perry County Board of DD
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNA NASH (MEDICAID SERVICES MANAGER)
(740) 343-7139
Entity
Organization
Contact information
Practice address
601 SENIOR DR, NEW LEXINGTON, OH 43764-1575
(740) 342-7139
(740) 342-1081
Mailing address
601 SENIOR DR, NEW LEXINGTON, OH 43764-1575
(740) 342-7139
(740) 342-1081
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0780007
OH
251C00000X
Developmentally Disabled Services Day Training Agency
0780007
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0780007
—
OH
Enumeration date
03/19/2007
Last updated
04/23/2024
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