Provider Demographics
NPI:1740043157
Name:OHIO EMPOWERMENT SERVICES INC
Entity type:Organization
Organization Name:OHIO EMPOWERMENT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XYLON
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-332-5425
Mailing Address - Street 1:1676 DALLAS DR STE C
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-1409
Mailing Address - Country:US
Mailing Address - Phone:225-205-9702
Mailing Address - Fax:
Practice Address - Street 1:6659 PEARL RD STE 402
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3821
Practice Address - Country:US
Practice Address - Phone:833-928-1448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management