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Champaign Residential Services, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bellefontaine, Ohio
NPI 1912146572

Champaign Residential Services, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Urbana, OH. Champaign Residential Services, Inc. practices in Bellefontaine, OH. The NPI Number for Champaign Residential Services, Inc. is 1912146572 and holds a License No. (Ohio).

The current practice location address for Champaign Residential Services, Inc. is 141 Richard Avenue, Bellefontaine, OH and can be reached out via phone at 937-653-1320 and via fax at 937-653-1321.

Location: 141 Richard Avenue, Bellefontaine, OH, 43078-0029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912146572
Provider Name
Champaign Residential Services, Inc.
Credential
Provider Entity Type
Organization
Address
141 Richard Avenue, Bellefontaine, OH, 43078-0029
Phone Number
937-653-1320
Fax Number
937-653-1321
Provider Enumeration Date
02/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0990745 05 OH
institution
Provider Business Practice Location Address Details
Address
141 Richard Avenue
City
Bellefontaine
State
Ohio
Zip
43311
Phone Number
937-653-1320
Fax Number
937-653-1321
person
Provider Business Mailing Address Details
Address
141 Richard Avenue
City
Bellefontaine
State
Ohio
Zip
43311
Phone Number
937-653-1320
Fax Number
937-653-1321
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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