Portage County Board of Developmental Disabilit

NPI #1639164205 in Ravenna, Ohio

Provider Information

NPI Number: 1639164205
Entity Type: Organization
Organization Name: Portage County Board of Developmental Disabilit
Subpart: Yes (part of a larger organization)
Parent Organization: PORTAGE COUNTY
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Sep 20, 2005
Last Updated: Sep 22, 2016

Practice Location

Address: 7008 STATE ROUTE 88
City: Ravenna
State: Ohio
ZIP Code: 44266-9188
Phone: (330) 296-2839

Authorized Official

Name: MR. OMAR NAGI
Title: SUPERINTENDENT
Phone: (330) 297-6209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X
Taxi	344600000X
Private Vehicle	347C00000X
Public Health or Welfare	251K00000X
Home Health	251E00000X
Community/Behavioral Health	251S00000X
Bus	347B00000X
Case Management	251B00000X
Day Training, Developmentally Disabled Services	251C00000X	Primary

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