Individual provider · Type 1 NPI

Jessica Byrd

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Athens, OH

NPI number 1437754041 Active

Practice location

3 Coventry Ln
Athens, OH 45701-3717

Call (740) 501-7534 Map

Mailing address

8595 Hoon Dr Ste A
Athens, OH 45701-8892

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X0300955 (OH)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1437754041

Jessica Byrd's National Provider Identifier is 1437754041, issued on Dec 1, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Athens, OH. The record was last updated on Dec 1, 2020.