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Stillwater Center
Intellectual Disabilities Intermediate Care Facility in Dayton, Ohio
NPI 1801930748

Stillwater Center is a Intellectual Disabilities Intermediate Care Facility based in Dayton, OH. Stillwater Center practices in Dayton, OH. The NPI Number for Stillwater Center is 1801930748 and holds a License No. MRDD25992 (Ohio).

The current practice location address for Stillwater Center is 8100 N Main St, Dayton, OH and can be reached out via phone at 937-890-0646 and via fax at 937-890-9579.

Location: 8100 N Main St, Dayton, OH, 45415-1702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801930748
Provider Name
Stillwater Center
Credential
Provider Entity Type
Organization
Address
8100 N Main St, Dayton, OH, 45415-1702
Phone Number
937-890-0646
Fax Number
937-890-9579
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2381462 05 OH
institution
Provider Business Practice Location Address Details
Address
8100 N Main St
City
Dayton
State
Ohio
Zip
45415-1702
Phone Number
937-890-0646
Fax Number
937-890-9579
person
Provider Business Mailing Address Details
Address
8100 N Main St
City
Dayton
State
Ohio
Zip
45415-1702
Phone Number
937-890-0646
Fax Number
937-890-9579
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MRDD25992 (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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