Healthcare Provider Details

I. General information

NPI: 1598889305
Provider Name (Legal Business Name): AUGLAIZE INDUSTRIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 W BOESEL AVE
NEW BREMEN OH
45869-1311
US

IV. Provider business mailing address

330 W. BOESEL AVE.
NEW BREMEN OH
45885-1311
US

V. Phone/Fax

Practice location:
  • Phone: 419-629-3603
  • Fax: 419-629-3983
Mailing address:
  • Phone: 419-629-3603
  • Fax: 419-629-3983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number0860126
License Number StateOH

VIII. Authorized Official

Name: MR. GREG FERRALL
Title or Position: DIRECTOR OF ADULT SERVICES
Credential:
Phone: 419-629-3603