Organization · Type 2 NPI
Ohio Department of Mental Retardation and Developmental Disabilities
Intellectual Disabilities Intermediate Care Facility · Gallipolis, OH
NPI number
1962544635
Active
Practice location
2500 Ohio Ave
Gallipolis, OH 45631-1656
Fax (740) 446-1341
Mailing address
30 E Broad St
Columbus, OH 43215-3414
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.
2 other providers at this address
Other intellectual disabilities intermediate care facility providers in Gallipolis
About NPI 1962544635
Ohio Department of Mental Retardation and Developmental Disabilities's National Provider Identifier is 1962544635, issued on Feb 12, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Gallipolis, OH. The record was last updated on Feb 11, 2009.