Organization · Type 2 NPI

County of Richland

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mansfield, OH

NPI number 1457548505 Active

Practice location

810 S Main St
Mansfield, OH 44907-2038

Call (419) 774-4358 Map

Mailing address

314 Cleveland Ave
Mansfield, OH 44902-8623

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1457548505

County of Richland's National Provider Identifier is 1457548505, issued on Oct 2, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Mansfield, OH. The record was last updated on Oct 2, 2007.