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Department Of Mental Retardation And Developmental Disabilities
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Columbus, Ohio
NPI 1174670285

Department Of Mental Retardation And Developmental Disabilities is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Columbus, OH. Department Of Mental Retardation And Developmental Disabilities practices in Columbus, OH. The NPI Number for Department Of Mental Retardation And Developmental Disabilities is 1174670285 and holds a License No. 2514097 (Ohio).

The current practice location address for Department Of Mental Retardation And Developmental Disabilities is 1601 W Broad St, Columbus, OH and can be reached out via phone at 614-272-0509 and via fax at 614-272-1054.

Location: 1601 W Broad St, Columbus, OH, 43215-3414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174670285
Provider Name
Department Of Mental Retardation And Developmental Disabilities
Credential
Provider Entity Type
Organization
Address
1601 W Broad St, Columbus, OH, 43215-3414
Phone Number
614-272-0509
Fax Number
614-272-1054
Provider Enumeration Date
01/04/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2438080 05 OH
institution
Provider Business Practice Location Address Details
Address
1601 W Broad St
City
Columbus
State
Ohio
Zip
43222-1054
Phone Number
614-272-0509
Fax Number
614-272-1054
person
Provider Business Mailing Address Details
Address
1601 W Broad St
City
Columbus
State
Ohio
Zip
43222-1054
Phone Number
614-272-0509
Fax Number
614-272-1054
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
2514097 (Ohio)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
2514097 (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.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
2514097 (Ohio)
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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