Organization
DISABILITY EMPLOYMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SMITH JD (DIRECTOR)
(740) 208-3752
Entity
Organization
Contact information
Practice address
4827 GALE RD, GRANVILLE, OH 43023-9180
(740) 208-3752
Mailing address
4827 GALE RD, GRANVILLE, OH 43023-9180
(740) 208-3752
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500672
—
OH
Enumeration date
12/15/2022
Last updated
12/15/2022
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