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Organization

INNOVATIVE SUPPORT SERVICES, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISTY HEMINGWAY (DIRECTOR)
(419) 618-5282
Entity
Organization

Contact information

Practice address
143 MELMORE ST, TIFFIN, OH 44883-3045
(419) 618-5282
(419) 986-5065
Mailing address
143 MELMORE ST, TIFFIN, OH 44883-3045
(419) 618-5282
(419) 986-5065

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
09/16/2008
Last updated
09/16/2008
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