Organization · Type 2 NPI
South Vienna Group Homes, Inc.
Intellectual Disabilities Intermediate Care Facility · South Vienna, OH
NPI number
1104038637
Active
Practice location
125 East National Road
South Vienna, OH 45369-9742
Fax (937) 568-4265
Mailing address
22021 Brookpark Rd, Ste 123
Fairview Park, OH 44126-3100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
Other intellectual disabilities intermediate care facility providers in South Vienna
About NPI 1104038637
South Vienna Group Homes, Inc.'s National Provider Identifier is 1104038637, issued on May 4, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in South Vienna, OH. The record was last updated on Oct 22, 2007.