Provider Demographics
NPI:1184771222
Name:WAYNE COUNTY AUDITOR
Entity type:Organization
Organization Name:WAYNE COUNTY AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:VAN PELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-262-1786
Mailing Address - Street 1:876 S GEYERS CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-3908
Mailing Address - Country:US
Mailing Address - Phone:330-262-1786
Mailing Address - Fax:330-262-0118
Practice Address - Street 1:876 S GEYERS CHAPEL RD
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-3908
Practice Address - Country:US
Practice Address - Phone:330-262-1786
Practice Address - Fax:330-262-0118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0520896Medicaid