institution
Mansfield Group Home, Ltd
Intellectual Disabilities Intermediate Care Facility in Mansfield, Ohio
NPI 1063409738

Mansfield Group Home, Ltd is a Intellectual Disabilities Intermediate Care Facility based in Mansfield, OH. Mansfield Group Home, Ltd practices in Mansfield, OH. The NPI Number for Mansfield Group Home, Ltd is 1063409738 and holds a License No. 15636 (Ohio).

The current practice location address for Mansfield Group Home, Ltd is 245 W 4Th St, Mansfield, OH and can be reached out via phone at 419-524-2335 and via fax at 419-522-4391.

Location: 245 W 4Th St, Mansfield, OH, 44903-1704
institution
Provider Profile Details
NPI Number
1063409738
Provider Name
Mansfield Group Home, Ltd
Credential
Provider Entity Type
Organization
Address
245 W 4Th St, Mansfield, OH, 44903-1704
Phone Number
419-524-2335
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
2076131 05 OH
institution
Provider Business Practice Location Address Details
Address
245 W 4Th St
City
State
Zip
44903-1704
Phone Number
419-524-2335
Fax Number
419-522-4391
person
Provider Business Mailing Address Details
Address
245 W 4Th St
City
State
Zip
44903-1704
Phone Number
419-524-2335
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.
15636 (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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