| Oj Support Living LLC | |
|
410 W Parkwood St Sidney OH 45365-3612 | |
| (937) 409-8633 | |
| Not Available |
| Full Name | Oj Support Living LLC |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 410 W Parkwood St, Sidney, Ohio |
| Authorized Official Name and Position | Ousman Jatta (MANAGING MEMBER) |
| Authorized Official Contact | 9376588754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oj Support Living LLC 410 W Parkwood St Sidney OH 45365-3612 Ph: (937) 409-8633 | Oj Support Living LLC 410 W Parkwood St Sidney OH 45365-3612 Ph: (937) 409-8633 |
| NPI Number | 1831034982 |
|---|---|
| Provider Enumeration Date | 04/23/2026 |
| Last Update Date | 04/23/2026 |
| Certification Date | 04/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831034982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (NU) | Primary |
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