Organization
PORTAGE COUNTY BOARD OF DEVELOPMENTAL DISABILIT
Active
Parent organization
PORTAGE COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTAGE COUNTY
Authorized official
MR. OMAR NAGI (SUPERINTENDENT)
(330) 297-6209
Entity
Organization
Contact information
Practice address
7008 STATE ROUTE 88, RAVENNA, OH 44266-9188
(330) 296-2839
(330) 297-8875
Mailing address
2606 BRADY LAKE RD, RAVENNA, OH 44266-1604
(330) 297-6209
(330) 297-1202
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
0776129
OH
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2560072
OH
251E00000X
Home Health Agency
2560072
OH
251K00000X
Public Health or Welfare Agency
2560072
OH
251S00000X
Community/Behavioral Health Agency
2560072
OH
252Y00000X
Early Intervention Provider Agency
—
OH
344600000X
Taxi
2560072
OH
347B00000X
Bus
2560072
OH
347C00000X
Private Vehicle
2560072
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6700010
—
OH
Enumeration date
09/20/2005
Last updated
09/22/2016
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