Provider Demographics
NPI:1154780435
Name:OHIO DEPARTMENT OF REHABILITATION AND CORRECTION
Entity type:Organization
Organization Name:OHIO DEPARTMENT OF REHABILITATION AND CORRECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORRECTIONAL PROGRAM COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:LICDC
Authorized Official - Phone:513-948-3388
Mailing Address - Street 1:3211 WESTBROOK DR APT 9
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-2224
Mailing Address - Country:US
Mailing Address - Phone:513-238-4029
Mailing Address - Fax:
Practice Address - Street 1:STATE ROUTE 63
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036
Practice Address - Country:US
Practice Address - Phone:513-932-3388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHICDC.011285251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare