Lorain County Board of Dd

NPI #1609997303 in Lorain, Ohio

Provider Information

NPI Number: 1609997303
Entity Type: Organization
Organization Name: Lorain County Board of Dd
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Apr 2, 2007
Last Updated: May 17, 2016

Practice Location

Address: 4609 MEISTER RD
City: Lorain
State: Ohio
ZIP Code: 44053-1530
Phone: (440) 282-3074

Authorized Official

Name: DR. AMBER L FISHER, DR. P.H.
Title: SUPERINTENDENT
Phone: (440) 329-3734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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