Provider Demographics
NPI:1003367376
Name:MEIGS COUNTY BOARD OF DEVELOPMENTAL DISABILITIES
Entity Type:Organization
Organization Name:MEIGS COUNTY BOARD OF DEVELOPMENTAL DISABILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-992-6681
Mailing Address - Street 1:P.O. BOX 307
Mailing Address - Street 2:1310 CARLETON STREET
Mailing Address - City:SYRACUSE
Mailing Address - State:OH
Mailing Address - Zip Code:45779
Mailing Address - Country:US
Mailing Address - Phone:740-992-6681
Mailing Address - Fax:740-992-6438
Practice Address - Street 1:1310 CARLETON STREET
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:OH
Practice Address - Zip Code:45779-0307
Practice Address - Country:US
Practice Address - Phone:740-992-6681
Practice Address - Fax:740-992-6438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5300016251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services