Organization · Type 2 NPI
Champaign Residential Services, Inc.
Intellectual Disabilities Intermediate Care Facility · Mount Vernon, OH
NPI number
1790156529
Active
Practice location
200 S Norton St
Mount Vernon, OH 43050-4024
Fax (937) 653-1321
Mailing address
1150 Scioto St, PO Box 29
Urbana, OH 43078-2289
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.
Other intellectual disabilities intermediate care facility providers in Mount Vernon
- Rose View LLCIntellectual Disabilities Intermediate Care Facility Mount Vernon, OH NPI 1124392196
- Champaign Residential Services, Inc.Intellectual Disabilities Intermediate Care Facility Mount Vernon, OH NPI 1164894150
- Champaign Residential Services, Inc.Intellectual Disabilities Intermediate Care Facility Mount Vernon, OH NPI 1700258795
- Mount Vernon Developmental CenterIntellectual Disabilities Intermediate Care Facility Mount Vernon, OH NPI 1992869069
About NPI 1790156529
Champaign Residential Services, Inc.'s National Provider Identifier is 1790156529, issued on Oct 20, 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 20, 2015.