Organization
INCLUSIONS LLC
Active
Other names
Inclusions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J MILLER (CEO)
(740) 416-3055
Entity
Organization
Contact information
Practice address
126 S 3RD AVE, MIDDLEPORT, OH 45760
(740) 416-3055
Mailing address
PO BOX 351, MIDDLEPORT, OH 45760-0351
(740) 416-3055
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5300785
PROVIDER NUMBER WITH DODD
OH
Enumeration date
12/04/2020
Last updated
12/04/2020
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