Provider Demographics
NPI:1710007471
Name:HARDIN COUNTY BOARD OF DD
Entity Type:Organization
Organization Name:HARDIN COUNTY BOARD OF DD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-674-4158
Mailing Address - Street 1:705 N IDA ST
Mailing Address - Street 2:
Mailing Address - City:KENTON
Mailing Address - State:OH
Mailing Address - Zip Code:43326-1060
Mailing Address - Country:US
Mailing Address - Phone:419-674-4158
Mailing Address - Fax:419-675-3274
Practice Address - Street 1:705 N IDA ST
Practice Address - Street 2:
Practice Address - City:KENTON
Practice Address - State:OH
Practice Address - Zip Code:43326-1060
Practice Address - Country:US
Practice Address - Phone:419-674-4158
Practice Address - Fax:419-675-3274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0950350251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services