Organization
HOCKING VALLEY INDUSTRIES, INC.
Active
Organization
HOCKING VALLEY INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER SPENCER (EXECUTIVE DIRECTOR)
(740) 385-2118
Entity
Organization
Contact information
Practice address
66 E HUNTER ST, LOGAN, OH 43138-1254
(740) 385-2118
Mailing address
PO BOX 64, LOGAN, OH 43138-0064
(740) 385-2118
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109127
—
OH
Enumeration date
09/17/2020
Last updated
09/17/2020
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