Organization · Type 2 NPI

Mansfield Group Home, Ltd

Intellectual Disabilities Intermediate Care Facility · Mansfield, OH

NPI number 1063409738 Active

Practice location

245 W 4th St
Mansfield, OH 44903-1704

Call (419) 524-2335 Map

Fax (419) 522-4391

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X15636 (OH)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1063409738

Mansfield Group Home, Ltd's National Provider Identifier is 1063409738, issued on Sep 28, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Mansfield, OH. The record was last updated on Aug 22, 2020.