MEDICARE: OHIO JOB AND FAMILY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302F00000X	Exclusive Provider Organization	2605461	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578638938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO JOB AND FAMILY SERVICES

Provider Business Mailing Address
First Line	:	552 GLENMONTE DR
Second Line	:
City	:	HOWARD
State	:	OH
Zip	:	43028-9379
Country	:	US
Telephone Number	:	740-504-0669
Fax Number	:	740-397-9492

Provider Business Practice Location Address
First Line	:	552 GLENMONTE DR
Second Line	:
City	:	HOWARD
State	:	OH
Zip	:	43028-9379
Country	:	US
Telephone Number	:	740-504-0669
Fax Number	:	740-397-9492

Authorized Official
Title or Position	:	HOME HEALTH AIDE
Name	:	MRS. TRACEY LYNN BELTZ
Credential	:
Telephone Number	:	740-504-0669

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	08/22/2020

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Directions to “OHIO JOB AND FAMILY SERVICES ” Practice Location

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