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NPI Code Detail

MEDICARE: TECHNOLOGY RESOUCE CENTER, INC

MEDICARE: TECHNOLOGY RESOUCE CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780055830
Entity Type Code : Organization
Provider Name (Legal Business Name) : TECHNOLOGY RESOUCE CENTER, INC
Provider Business Mailing Address
First Line : 660 S MAIN ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-2708
Country : US
Telephone Number : 937-461-4800
Fax Number : 937-461-6304
Provider Business Practice Location Address
First Line : 660 S MAIN ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-2708
Country : US
Telephone Number : 937-461-4800
Fax Number : 937-461-6304
Authorized Official
Title or Position : VP, CFO
Name : LEO DUGDALE
Credential : VP, CFO
Telephone Number : 937-461-4800
Provider Enumeration Date : 10/15/2015
Last Update Date : 10/15/2015

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Directions to “TECHNOLOGY RESOUCE CENTER, INC ” Practice Location

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