Licking County Board of Mrdd
Licking County Board of Mrdd is a Case Management Agency in Newark, Ohio. Licensed in Ohio. Registered with an NPI since 2007.
- Licensed in
- OH
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
65 W Church StNewark, OH 43055-5013
Phone: (740) 349-6588
Fax: (740) 349-6595
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Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X · Licence 4500016 (OH) |
|---|---|
| Case Management Agency | Taxonomy 251B00000X · Licence 4500016 (OH) |
Record details
| NPI number | 1295860724 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Smith — Director Of Finance · (740) 349-6588 |
| NPI enumerated | February 23, 2007 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 65 W Church St, Newark, OH 43055-5013 |
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