Organization
MADISON COUNTY BOARD OF MRDD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM CANNEY (SUPERINTENDENT)
(740) 852-7050
Entity
Organization
Contact information
Practice address
1423 STATE ROUTE 38 SE, LONDON, OH 43140-8700
(740) 852-7050
(740) 852-7051
Mailing address
1423 STATE ROUTE 38 SE, P.O. BOX 88, LONDON, OH 43140-8700
(740) 852-7050
(740) 852-7051
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
4900012
OH
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
4900012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2558585
—
OH
Enumeration date
04/02/2007
Last updated
09/11/2025
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