Jennifer Deforest
Jennifer Deforest is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Athens, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
3 Coventry LnAthens, OH 45701-3717
Phone: (740) 707-1691
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 8701195 (OH) |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
Record details
| NPI number | 1548858939 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 2, 2021 |
| Last updated in NPPES | January 2, 2021 |
| Certification date | January 2, 2021 |
| Mailing address | 11447 Valley Dr, The Plains, OH 45780-1428 |
Other providers in Athens
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Jessica Byrd
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-
MS. Erin H Councilman
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William Lee Dowler
59 Morris Ave, Athens, OH 45701 · (740) 677-5740
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Jessie Smith
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