NPI Code Details Logo

NPI 1992829899

NPI 1992829899 : ALLEN COUNTY BOARD OF MRDD : LIMA, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1992829899
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ALLEN COUNTY BOARD OF MRDD 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/17/2007
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2500 ADA RD 
-----------------------------------------------------
    City                 |    LIMA
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45801-3340
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    419-221-1385
-----------------------------------------------------
    Fax                  |    419-221-1296
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2500 ADA RD 
-----------------------------------------------------
    City                 |    LIMA
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45801-3340
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    419-221-1385
-----------------------------------------------------
    Fax                  |    419-221-1296
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR OF BUSINESS
-----------------------------------------------------
    Name                 |    MRS. MARTHA JEAN NANCE 
-----------------------------------------------------
    Credential           |    CPA
-----------------------------------------------------
    Telephone            |    419-221-1385
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251C00000X
-----------------------------------------------------
    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.