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Ohio Department Of Mental Retardation And Developmental Disabilities
Intellectual Disabilities Intermediate Care Facility in Gallipolis, Ohio
NPI 1962544635

Ohio Department Of Mental Retardation And Developmental Disabilities is a Intellectual Disabilities Intermediate Care Facility based in Columbus, OH. Ohio Department Of Mental Retardation And Developmental Disabilities practices in Gallipolis, OH. The NPI Number for Ohio Department Of Mental Retardation And Developmental Disabilities is 1962544635 and holds a License No. (Ohio).

The current practice location address for Ohio Department Of Mental Retardation And Developmental Disabilities is 2500 Ohio Ave, Gallipolis, OH and can be reached out via phone at 740-446-1642 and via fax at 740-446-1341.

Location: 2500 Ohio Ave, Gallipolis, OH, 43215-3414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962544635
Provider Name
Ohio Department Of Mental Retardation And Developmental Disabilities
Credential
Provider Entity Type
Organization
Address
2500 Ohio Ave, Gallipolis, OH, 43215-3414
Phone Number
740-446-1642
Fax Number
740-446-1341
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0136025 05 OH
0280799 05 OH
0372618 05 OH
institution
Provider Business Practice Location Address Details
Address
2500 Ohio Ave
City
Gallipolis
State
Ohio
Zip
45631-1656
Phone Number
740-446-1642
Fax Number
740-446-1341
person
Provider Business Mailing Address Details
Address
2500 Ohio Ave
City
Gallipolis
State
Ohio
Zip
45631-1656
Phone Number
740-446-1642
Fax Number
740-446-1341
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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