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South Vienna Group Homes, Inc.
Intellectual Disabilities Intermediate Care Facility in South Vienna, Ohio
NPI 1104038637

South Vienna Group Homes, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Fairview Park, OH. South Vienna Group Homes, Inc. practices in South Vienna, OH. The NPI Number for South Vienna Group Homes, Inc. is 1104038637 and holds a License No. (Ohio).

The current practice location address for South Vienna Group Homes, Inc. is 125 East National Road, South Vienna, OH and can be reached out via phone at 937-568-4342 and via fax at 937-568-4265.

Location: 125 East National Road, South Vienna, OH, 44126-3100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104038637
Provider Name
South Vienna Group Homes, Inc.
Credential
Provider Entity Type
Organization
Address
125 East National Road, South Vienna, OH, 44126-3100
Phone Number
937-568-4342
Fax Number
937-568-4265
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2743615 05 OH
institution
Provider Business Practice Location Address Details
Address
125 East National Road
City
South Vienna
State
Ohio
Zip
45369-9742
Phone Number
937-568-4342
Fax Number
937-568-4265
person
Provider Business Mailing Address Details
Address
125 East National Road
City
South Vienna
State
Ohio
Zip
45369-9742
Phone Number
937-568-4342
Fax Number
937-568-4265
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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