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Madison Village Manor
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Madison, Ohio
NPI 1972786705

Madison Village Manor is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Madison, OH. Madison Village Manor practices in Madison, OH. The NPI Number for Madison Village Manor is 1972786705 and holds a License No. 2675 (Ohio).

The current practice location address for Madison Village Manor is 148 E Main St, Madison, OH and can be reached out via phone at 440-428-6969 and via fax at 440-428-6360.

Location: 148 E Main St, Madison, OH, 44057-3226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972786705
Provider Name
Madison Village Manor
Credential
Provider Entity Type
Organization
Address
148 E Main St, Madison, OH, 44057-3226
Phone Number
440-428-6969
Fax Number
440-428-6360
Provider Enumeration Date
12/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0345442 05 OH
institution
Provider Business Practice Location Address Details
Address
148 E Main St
City
Madison
State
Ohio
Zip
44057-3226
Phone Number
440-428-6969
Fax Number
440-428-6360
person
Provider Business Mailing Address Details
Address
148 E Main St
City
Madison
State
Ohio
Zip
44057-3226
Phone Number
440-428-6969
Fax Number
440-428-6360
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
2675 (Ohio)
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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