Organization · Type 2 NPI

Champaign Residential Services, Inc.

Intellectual Disabilities Intermediate Care Facility · Mount Vernon, OH

NPI number 1164894150 Active

Practice location

710 S Main St
Mount Vernon, OH 43050-9260

Call (937) 653-1320 Map

Fax (937) 653-1321

Mailing address

1150 Scioto St, PO Box 29
Urbana, OH 43078-2289

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

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

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About NPI 1164894150

Champaign Residential Services, Inc.'s National Provider Identifier is 1164894150, issued on Oct 29, 2015. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Mount Vernon, OH. The record was last updated on Oct 29, 2015.