Provider Demographics
NPI:1346936945
Name:EDUCATIONAL CENTER FOR THE DISABLES
Entity Type:Organization
Organization Name:EDUCATIONAL CENTER FOR THE DISABLES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:AWERE
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-588-7352
Mailing Address - Street 1:6501 E LIVINGSTON AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3561
Mailing Address - Country:US
Mailing Address - Phone:862-588-7352
Mailing Address - Fax:
Practice Address - Street 1:6501 E LIVINGSTON AVE STE 5
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3561
Practice Address - Country:US
Practice Address - Phone:862-588-7352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDUCATIONAL CENTER FOR THE DISABLES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health