MEDICARE: PERCO, 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
1	251C00000X	Developmentally Disabled Services Day Training Agency		OH

General Provider Information

NPI Number	:	1881134450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERCO, INC.

Provider Business Mailing Address
First Line	:	300 S STATE ST
Second Line	:
City	:	NEW LEXINGTON
State	:	OH
Zip	:	43764-1546
Country	:	US
Telephone Number	:	740-342-5156
Fax Number	:	740-342-3255

Provider Business Practice Location Address
First Line	:	2235 STATE ROUTE 13 NE
Second Line	:
City	:	NEW LEXINGTON
State	:	OH
Zip	:	43764-9707
Country	:	US
Telephone Number	:	740-342-5156
Fax Number	:	740-342-3255

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. JAY ALLEN BARNHART
Credential	:
Telephone Number	:	740-342-5156

Provider Enumeration Date	:	03/02/2017
Last Update Date	:	09/14/2023

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Directions to “PERCO, INC. ” Practice Location

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