Organization
DARKE COUNTY BOARD OF DD
Active
Organization
DARKE COUNTY BOARD OF DD
Active
Other names
Wayne Industries, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL R. BEASECKER (SUPERINTENDENT)
(937) 459-4601
Entity
Organization
Contact information
Practice address
5844 JAYSVILLE ST JOHNS RD, GREENVILLE, OH 45331
(937) 548-9057
(937) 548-8585
Mailing address
5844 JAYSVILLE ST JOHNS RD, GREENVILLE, OH 45331
(937) 548-9057
(937) 548-8585
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
1900018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2556363
—
OH
05
—
2568056
—
OH
Enumeration date
07/26/2005
Last updated
02/16/2021
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