Provider Demographics
NPI:1629192778
Name:WARREN COUNTY BD OF DD
Entity Type:Organization
Organization Name:WARREN COUNTY BD OF DD
Other - Org Name:WARREN COUNTY
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS SERV DIR.
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEARINGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-228-6506
Mailing Address - Street 1:42 KINGS WAY
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-9593
Mailing Address - Country:US
Mailing Address - Phone:513-695-6506
Mailing Address - Fax:
Practice Address - Street 1:42 KINGS WAY
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-9593
Practice Address - Country:US
Practice Address - Phone:513-228-6506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2569993Medicaid