South Vienna Group Homes, Inc.
NPI #1104038637 in South Vienna, Ohio
Provider Information
- NPI Number
- 1104038637
- Entity Type
- Organization
- Organization Name
- South Vienna Group Homes, Inc.
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- May 4, 2007
- Last Updated
- Oct 22, 2007
Practice Location
- Address
- 125 EAST NATIONAL ROAD
- City
- South Vienna
- State
- Ohio
- ZIP Code
- 45369-9742
- Phone
- (937) 568-4342
Authorized Official
- Name
- BRIAN COLLERAN
- Title
- PRESIDENT
- Phone
- (440) 614-0160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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