Healthcare Provider Details

I. General information

NPI: 1578721924
Provider Name (Legal Business Name): PARTNERS IN EMPLOYMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2008
Last Update Date: 05/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 PERRY ST
DEFIANCE OH
43512-2118
US

IV. Provider business mailing address

206 PERRY ST
DEFIANCE OH
43512-2118
US

V. Phone/Fax

Practice location:
  • Phone: 419-784-9828
  • Fax: 419-784-9826
Mailing address:
  • Phone: 419-784-9828
  • Fax: 419-784-9826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROXANNE HOLLINGSHEAD
Title or Position: CO-OWNER/CO-EXECUTIVE DIRECTOR
Credential:
Phone: 419-784-9828