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Jessie Smith
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Athens, Ohio
NPI 1871279851

Jessie Smith is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Athens, OH. Jessie Smith practices in Athens, OH. The NPI Number for Jessie Smith is 1871279851 and holds a License No. (Ohio).

The current practice location address for Jessie Smith is 20 Walker St., Athens, OH and can be reached out via phone at 779-221-9307.

Location: 20 Walker St., Athens, OH, 45701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871279851
Provider Name
Jessie Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
20 Walker St., Athens, OH, 45701
Phone Number
779-221-9307
Fax Number
Provider Enumeration Date
06/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20 Walker St.
City
Athens
State
Ohio
Zip
45701
Phone Number
779-221-9307
Fax Number
person
Provider Business Mailing Address Details
Address
20 Walker St.
City
Athens
State
Ohio
Zip
45701
Phone Number
779-221-9307
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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