NPI 1548858939

Jennifer Deforest

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

Practice location

Address: 3 Coventry Ln, Athens, OH 45701-3717
Phone: (740) 707-1691
Mailing address: 11447 Valley Dr, The Plains, OH 45780-1428

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 8701195 (OH)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Ohio →

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI: 1548858939
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2021
Record last updated: 2 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.