Provider Demographics
NPI:1790801413
Name:WASCO, INC.
Entity Type:Organization
Organization Name:WASCO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARMITER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-373-3418
Mailing Address - Street 1:340 MUSKINGUM DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-1435
Mailing Address - Country:US
Mailing Address - Phone:740-373-3418
Mailing Address - Fax:740-373-3560
Practice Address - Street 1:340 MUSKINGUM DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1435
Practice Address - Country:US
Practice Address - Phone:740-373-3418
Practice Address - Fax:740-373-3560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH8400608251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2465032Medicaid