Organization · Type 2 NPI

Madison Village Manor

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Madison, OH

NPI number 1972786705 Active

Practice location

148 E Main St
Madison, OH 44057-3226

Fax (440) 428-6360

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	2675 (OH)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1972786705

Madison Village Manor's National Provider Identifier is 1972786705, issued on Dec 15, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Madison, OH. The record was last updated on Jun 19, 2008.