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Champaign Residential Services, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lima, Ohio
NPI 1437398054

Champaign Residential Services, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Urbana, OH. Champaign Residential Services, Inc. practices in Lima, OH. The NPI Number for Champaign Residential Services, Inc. is 1437398054 and holds a License No. (Ohio).

The current practice location address for Champaign Residential Services, Inc. is 2450 Mandolin Drive, Lima, OH and can be reached out via phone at 937-653-1320.

Location: 2450 Mandolin Drive, Lima, OH, 43078-0029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437398054
Provider Name
Champaign Residential Services, Inc.
Credential
Provider Entity Type
Organization
Address
2450 Mandolin Drive, Lima, OH, 43078-0029
Phone Number
937-653-1320
Fax Number
Provider Enumeration Date
02/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0459301 05 OH
institution
Provider Business Practice Location Address Details
Address
2450 Mandolin Drive
City
Lima
State
Ohio
Zip
45804
Phone Number
937-653-1320
Fax Number
person
Provider Business Mailing Address Details
Address
2450 Mandolin Drive
City
Lima
State
Ohio
Zip
45804
Phone Number
937-653-1320
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
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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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