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Champaign Residential Services, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Urbana, Ohio
NPI 1033264619

Champaign Residential Services, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Urbana, OH. Champaign Residential Services, Inc. practices in Urbana, OH. The NPI Number for Champaign Residential Services, Inc. is 1033264619 and holds a License No. (Ohio).

The current practice location address for Champaign Residential Services, Inc. is 1150 Scioto St, Urbana, OH and can be reached out via phone at 937-653-1320 and via fax at 937-653-1321.

Location: 1150 Scioto St, Urbana, OH, 43078-0029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033264619
Provider Name
Champaign Residential Services, Inc.
Credential
Provider Entity Type
Organization
Address
1150 Scioto St, Urbana, OH, 43078-0029
Phone Number
937-653-1320
Fax Number
937-653-1321
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1100114 01 OH WAIVER BILLING PROVIDER #
0850637 05 OH
institution
Provider Business Practice Location Address Details
Address
1150 Scioto St
City
Urbana
State
Ohio
Zip
43078-2289
Phone Number
937-653-1320
Fax Number
937-653-1321
person
Provider Business Mailing Address Details
Address
1150 Scioto St
City
Urbana
State
Ohio
Zip
43078-2289
Phone Number
937-653-1320
Fax Number
937-653-1321
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
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Definition
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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