Organization
CLINTON COUNTY BOARD OF MRDD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE SWEARINGEN (BUSINESS MANAGER)
(937) 382-7519
Entity
Organization
Contact information
Practice address
4425 STATE ROUTE 730, WILMINGTON, OH 45177-8661
(937) 382-7519
Mailing address
4425 STATE ROUTE 730, WILMINGTON, OH 45177-8661
(937) 382-7519
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
OH
251C00000X
Developmentally Disabled Services Day Training Agency
1400013
OH
347B00000X
Bus
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0776067
—
OH
05
—
1400013
—
OH
Enumeration date
02/27/2007
Last updated
09/11/2025
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