Southern Ohio Integrated Services, LLC
Day Training, Developmentally Disabled Services in Mount Orab, OH. Organization (NPI-2).
NPI number1144779679
StatusActive
Last updated in NPPESSep 26, 2016
Details
- NPI
- 1144779679
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Ohio Integrated Services, LLC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2016
- Last updated
- Sep 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
Practice location
103 Day RdMount Orab, OH 45154-8924
Phone 937-444-0044 · Fax 937-444-0048
Mailing address
3290 Musgrove RdWilliamsburg, OH 45176-9151
Phone 513-582-1069 · Fax 937-444-0044
Authorized official
Kyle W Boggs
President
5135821069
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