Provider Demographics
NPI:1174729024
Name:MULTIPLE OPTIONS FOR DEVELOPMENTAL AND EDUCATIONAL LEARNING
Entity type:Organization
Organization Name:MULTIPLE OPTIONS FOR DEVELOPMENTAL AND EDUCATIONAL LEARNING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-897-4400
Mailing Address - Street 1:3020 TREMAINSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-1901
Mailing Address - Country:US
Mailing Address - Phone:419-897-4400
Mailing Address - Fax:419-897-4403
Practice Address - Street 1:3020 TREMAINSVILLE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-1901
Practice Address - Country:US
Practice Address - Phone:419-897-4400
Practice Address - Fax:419-897-4403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)