Provider Demographics
NPI:1982730941
Name:HURON COUNTY BOARD OF DD
Entity Type:Organization
Organization Name:HURON COUNTY BOARD OF DD
Other - Org Name:CHRISTIE LANE SCHOOL & WORKSHOP
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-668-8840
Mailing Address - Street 1:306 S NORWALK RD W
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-9529
Mailing Address - Country:US
Mailing Address - Phone:419-668-8840
Mailing Address - Fax:419-663-2321
Practice Address - Street 1:306 S NORWALK RD W
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-9529
Practice Address - Country:US
Practice Address - Phone:419-668-8840
Practice Address - Fax:419-663-2321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care