institution
Mansfield Living Center, Ltd
Intellectual Disabilities Intermediate Care Facility in Mansfield, Ohio
NPI 1063409720

Mansfield Living Center, Ltd is a Intellectual Disabilities Intermediate Care Facility based in Mansfield, OH. Mansfield Living Center, Ltd practices in Mansfield, OH. The NPI Number for Mansfield Living Center, Ltd is 1063409720 and holds a License No. 15637 (Ohio).

The current practice location address for Mansfield Living Center, Ltd is 73 Madison Rd, Mansfield, OH and can be reached out via phone at 419-526-0124 and via fax at 419-522-4391. You can also correspond with Mansfield Living Center, Ltd through the mailing address at 73 MADISON RD, MANSFIELD, OH - 44905-2830 (mailing address contact number: 419-526-0124).

Location: 73 Madison Rd, Mansfield, OH, 44905-2830
institution
Provider Profile Details
NPI Number
1063409720
Provider Name
Mansfield Living Center, Ltd
Credential
Provider Entity Type
Organization
Address
73 Madison Rd, Mansfield, OH, 44905-2830
Phone Number
419-526-0124
Fax Number
419-522-4391
Provider Enumeration Date
09/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2076435 05 OH
institution
Provider Business Practice Location Address Details
Address
73 Madison Rd
City
State
Zip
44905-2830
Phone Number
419-526-0124
Fax Number
419-522-4391
person
Provider Business Mailing Address Details
Address
73 Madison Rd
City
State
Zip
44905-2830
Phone Number
419-526-0124
Fax Number
419-522-4391
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
15637 (Ohio)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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