Provider Demographics
NPI:1841417326
Name:MARION COUNTY BOARD MRDD
Entity Type:Organization
Organization Name:MARION COUNTY BOARD MRDD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS-CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LANA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SWITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-387-1035
Mailing Address - Street 1:2387 HARDING HWY EAST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302
Mailing Address - Country:US
Mailing Address - Phone:740-387-1035
Mailing Address - Fax:740-387-1159
Practice Address - Street 1:2387 HARDING HWY EAST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302
Practice Address - Country:US
Practice Address - Phone:740-387-1035
Practice Address - Fax:740-387-1159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH716183251B00000X, 251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH716183Medicaid