Organization · Type 2 NPI

Richland County

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

NPI number 1891932398 Active

Practice location

592 Evelyn Ave
Mansfield, OH 44907

Call (419) 522-0611 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 320900000X7010406 (OH)

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 1891932398

Richland County's National Provider Identifier is 1891932398, issued on Jan 21, 2009. 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 Jan 21, 2009.