Healthcare Provider Details

I. General information

NPI: 1609093145
Provider Name (Legal Business Name): ALLEN COUNTY EDUCATIONAL SERVICE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 SLABTOWN RD
LIMA OH
45801-3309
US

IV. Provider business mailing address

1920 SLABTOWN RD
LIMA OH
45801-3309
US

V. Phone/Fax

Practice location:
  • Phone: 419-222-1836
  • Fax: 419-224-0718
Mailing address:
  • Phone: 419-222-1836
  • Fax: 419-224-0718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. BRIAN K ROCKHOLD
Title or Position: SUPERINTENDENT
Credential:
Phone: 419-222-1836