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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