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Champaign Residential Services, Inc.
Intellectual Disabilities Intermediate Care Facility in Mount Vernon, Ohio
NPI 1164894150

Champaign Residential Services, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Urbana, OH. Champaign Residential Services, Inc. practices in Mount Vernon, OH. The NPI Number for Champaign Residential Services, Inc. is 1164894150 and holds a License No. (Ohio).

The current practice location address for Champaign Residential Services, Inc. is 710 S Main St, Mount Vernon, OH and can be reached out via phone at 937-653-1320 and via fax at 937-653-1321.

Location: 710 S Main St, Mount Vernon, OH, 43078-2289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164894150
Provider Name
Champaign Residential Services, Inc.
Credential
Provider Entity Type
Organization
Address
710 S Main St, Mount Vernon, OH, 43078-2289
Phone Number
937-653-1320
Fax Number
937-653-1321
Provider Enumeration Date
10/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
710 S Main St
City
Mount Vernon
State
Ohio
Zip
43050-9260
Phone Number
937-653-1320
Fax Number
937-653-1321
person
Provider Business Mailing Address Details
Address
710 S Main St
City
Mount Vernon
State
Ohio
Zip
43050-9260
Phone Number
937-653-1320
Fax Number
937-653-1321
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(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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