Provider Demographics
NPI:1497741136
Name:WAYNE COUNTY AUDITOR
Entity Type:Organization
Organization Name:WAYNE COUNTY AUDITOR
Other - Org Name:WAYNE COUNTY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEICHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-262-1786
Mailing Address - Street 1:876 S GEYERS CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-3908
Mailing Address - Country:US
Mailing Address - Phone:330-262-1786
Mailing Address - Fax:330-262-0118
Practice Address - Street 1:876 S GEYERS CHAPEL RD
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-3908
Practice Address - Country:US
Practice Address - Phone:330-262-1786
Practice Address - Fax:330-262-0118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0520896Medicaid