Organization · Type 2 NPI

Champaign Residential Services Inc

Intellectual Disabilities Intermediate Care Facility · Tiffin, OH

NPI number 1871964650 Active

Practice location

12 Orchard Park
Tiffin, OH 44883

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 1871964650

Champaign Residential Services Inc's National Provider Identifier is 1871964650, issued on Oct 19, 2015. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Tiffin, OH. The record was last updated on Oct 19, 2015.