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Champaign Residential Services Inc
Intellectual Disabilities Intermediate Care Facility in Tiffin, Ohio
NPI 1871964650

Champaign Residential Services Inc is a Intellectual Disabilities Intermediate Care Facility based in Urbana, OH. Champaign Residential Services Inc practices in Tiffin, OH. The NPI Number for Champaign Residential Services Inc is 1871964650 and holds a License No. (Ohio).

The current practice location address for Champaign Residential Services Inc is 12 Orchard Park, Tiffin, OH and can be reached out via phone at 937-653-1320 and via fax at 937-653-1321.

Location: 12 Orchard Park, Tiffin, OH, 43078-2289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871964650
Provider Name
Champaign Residential Services Inc
Credential
Provider Entity Type
Organization
Address
12 Orchard Park, Tiffin, OH, 43078-2289
Phone Number
937-653-1320
Fax Number
937-653-1321
Provider Enumeration Date
10/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12 Orchard Park
City
Tiffin
State
Ohio
Zip
44883
Phone Number
937-653-1320
Fax Number
937-653-1321
person
Provider Business Mailing Address Details
Address
12 Orchard Park
City
Tiffin
State
Ohio
Zip
44883
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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