Provider Demographics
NPI:1962969469
Name:ISAIAHS PLACE INC
Entity type:Organization
Organization Name:ISAIAHS PLACE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:LYBARGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-335-3701
Mailing Address - Street 1:1100 WAYNE ST STE 3400
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-3048
Mailing Address - Country:US
Mailing Address - Phone:937-335-3701
Mailing Address - Fax:937-335-7291
Practice Address - Street 1:1100 WAYNE ST STE 3400
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-3048
Practice Address - Country:US
Practice Address - Phone:937-335-3701
Practice Address - Fax:937-335-7291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency