Organization
DRIFTWOOD INDUSTRIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E. MILLER III (PRESIDENT)
(440) 466-1818
Entity
Organization
Contact information
Practice address
185 WATER ST., GENEVA, OH 44041
(440) 466-1818
(440) 466-5212
Mailing address
185 WATER ST., PO BOX 69, GENEVA, OH 44041
(440) 466-1818
(440) 466-5212
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0400720
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2716494
—
OH
Enumeration date
05/03/2007
Last updated
08/22/2020
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