Provider Demographics
NPI:1164844064
Name:DIRECTIONS OFFENDER SERVICES,INC.
Entity type:Organization
Organization Name:DIRECTIONS OFFENDER SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-864-0023
Mailing Address - Street 1:104 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARDINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43315-1009
Mailing Address - Country:US
Mailing Address - Phone:419-864-0023
Mailing Address - Fax:419-718-4086
Practice Address - Street 1:104 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CARDINGTON
Practice Address - State:OH
Practice Address - Zip Code:43315-1009
Practice Address - Country:US
Practice Address - Phone:419-864-0023
Practice Address - Fax:419-718-4086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH12794251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health