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Jennifer Deforest
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Athens, Ohio
NPI 1548858939

Jennifer Deforest is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in The Plains, OH. Jennifer Deforest practices in Athens, OH. The NPI Number for Jennifer Deforest is 1548858939 and holds a License No. (Ohio).

The current practice location address for Jennifer Deforest is 3 Coventry Ln, Athens, OH and can be reached out via phone at 740-707-1691.

Location: 3 Coventry Ln, Athens, OH, 45780-1428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548858939
Provider Name
Jennifer Deforest
Credential
Provider Entity Type
Individual
Gender
Female
Address
3 Coventry Ln, Athens, OH, 45780-1428
Phone Number
740-707-1691
Fax Number
Provider Enumeration Date
01/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0427093 05 OH
institution
Provider Business Practice Location Address Details
Address
3 Coventry Ln
City
Athens
State
Ohio
Zip
45701-3717
Phone Number
740-707-1691
Fax Number
person
Provider Business Mailing Address Details
Address
3 Coventry Ln
City
Athens
State
Ohio
Zip
45701-3717
Phone Number
740-707-1691
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.
()
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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