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Jessica Byrd
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Athens, Ohio
NPI 1437754041

Jessica Byrd is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Athens, OH. Jessica Byrd practices in Athens, OH. The NPI Number for Jessica Byrd is 1437754041 and holds a License No. 0300955 (Ohio).

The current practice location address for Jessica Byrd is 3 Coventry Ln, Athens, OH and can be reached out via phone at 740-501-7534.

Location: 3 Coventry Ln, Athens, OH, 45701-8892
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437754041
Provider Name
Jessica Byrd
Credential
Provider Entity Type
Individual
Gender
Female
Address
3 Coventry Ln, Athens, OH, 45701-8892
Phone Number
740-501-7534
Fax Number
Provider Enumeration Date
12/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3 Coventry Ln
City
Athens
State
Ohio
Zip
45701-3717
Phone Number
740-501-7534
Fax Number
person
Provider Business Mailing Address Details
Address
3 Coventry Ln
City
Athens
State
Ohio
Zip
45701-3717
Phone Number
740-501-7534
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
0300955 (Ohio)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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