Provider Demographics
NPI:1851424659
Name:COLUMBIANA COUNTY BOARD OF MRDD
Entity Type:Organization
Organization Name:COLUMBIANA COUNTY BOARD OF MRDD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEVON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:330-424-7788
Mailing Address - Street 1:7675 STATE ROUTE 45
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:OH
Mailing Address - Zip Code:44432-9369
Mailing Address - Country:US
Mailing Address - Phone:330-424-7788
Mailing Address - Fax:330-420-9561
Practice Address - Street 1:7675 STATE ROUTE 45
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:OH
Practice Address - Zip Code:44432-9369
Practice Address - Country:US
Practice Address - Phone:330-424-7788
Practice Address - Fax:330-420-9561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251300000XAgenciesLocal Education Agency (LEA)
Not Answered251B00000XAgenciesCase Management
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services