Christopher Kolmorgen
Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Wakeman, OH
NPI 1619702420 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1619702420
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Practice address
- 19647 Gore Orphanage Rd
Wakeman, OH 44889-8345 - Phone
- (216) 244-6980
- NPI assigned
- Sep 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
19647 Gore Orphanage Rd
Wakeman, OH 44889-8345
Mailing address
19647 Gore Orphanage Rd
Wakeman, OH 44889-8345
Phone (216) 244-6980
Other providers in Wakeman, OH
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- Kawest Brothers LLC
- Paula Knott
- Allan George Lengyel
- Robin Lengyel
- Abigail Gene Livermore
- Tracey Elaine Logan
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All providers in Wakeman, OH · Developmentally Disabled Services Day Training Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.