Organization · Type 2 NPI

Department of Mental Retardation and Developmental Disabilities

Intellectual Disabilities Intermediate Care Facility · Columbus, OH

NPI number 1174670285 Active

Practice location

1601 W Broad St
Columbus, OH 43222-1054

Call (614) 272-0509 Map

Fax (614) 272-1054

Mailing address

30 E Broad St
Columbus, OH 43215-3414

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Intermediate Care Facility 310500000X2514097 (OH)
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X2514097 (OH)
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X2514097 (OH)

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

4 other providers at this address

Other intellectual disabilities intermediate care facility providers in Columbus

See all in Columbus →

About NPI 1174670285

Department of Mental Retardation and Developmental Disabilities's National Provider Identifier is 1174670285, issued on Jan 4, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Columbus, OH. The record was last updated on Dec 5, 2008.