Organization
FOUR COUNTY FAMILY CENTER
Active
Parent organization
FAMILY SERVICES OF NWO
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY SERVICES OF NWO
Authorized official
MS. BEVERLY ANN HEFFLINGER LPN (NURSE)
(419) 335-3732
Entity
Organization
Contact information
Practice address
7320 STATE HIGHWAY 108, WAUSEON, OH 43567-8200
(419) 335-3462
(419) 335-3462
Mailing address
7320 STATE HIGHWAY 108, WAUSEON, OH 43567-8200
(419) 335-3462
(419) 335-3462
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN088950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN088950
LPN LICENSURE
OH
Enumeration date
12/31/2007
Last updated
12/31/2007
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