=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922787902
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ERIE COUNTY OFFICE OF AUDITOR
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/17/2023
-----------------------------------------------------
Last Update Date | 02/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 795 BARDSHAR RD
-----------------------------------------------------
City | SANDUSKY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44870-1505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-626-5623
-----------------------------------------------------
Fax | 419-626-8778
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 420 SUPERIOR ST
-----------------------------------------------------
City | SANDUSKY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44870-1849
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-626-5623
-----------------------------------------------------
Fax | 419-626-8778
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | MELISSA KELLER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 419-626-5623
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA0600X
-----------------------------------------------------
Taxonomy Name | Adult Day Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------