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Eileen Community Residence
Intellectual Disabilities Intermediate Care Facility in Toledo, Ohio
NPI 1548415839

Eileen Community Residence is a Intellectual Disabilities Intermediate Care Facility based in Holland, OH. Eileen Community Residence practices in Toledo, OH. The NPI Number for Eileen Community Residence is 1548415839 and holds a License No. (Ohio).

The current practice location address for Eileen Community Residence is 4816 Dorr St, Toledo, OH and can be reached out via phone at 419-866-6500 and via fax at 419-866-7457.

Location: 4816 Dorr St, Toledo, OH, 43528-9616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548415839
Provider Name
Eileen Community Residence
Credential
Provider Entity Type
Organization
Address
4816 Dorr St, Toledo, OH, 43528-9616
Phone Number
419-866-6500
Fax Number
419-866-7457
Provider Enumeration Date
12/01/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2681058 05 OH
institution
Provider Business Practice Location Address Details
Address
4816 Dorr St
City
Toledo
State
Ohio
Zip
43615
Phone Number
419-866-6500
Fax Number
419-866-7457
person
Provider Business Mailing Address Details
Address
4816 Dorr St
City
Toledo
State
Ohio
Zip
43615
Phone Number
419-866-6500
Fax Number
419-866-7457
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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