Ohio Department of Mental Retardation and Developmental Disabilities
NPI #1962544635 in Gallipolis, Ohio
Provider Information
- NPI Number
- 1962544635
- Entity Type
- Organization
- Organization Name
- Ohio Department of Mental Retardation and Developmental Disabilities
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Feb 11, 2009
Practice Location
- Address
- 2500 OHIO AVE
- City
- Gallipolis
- State
- Ohio
- ZIP Code
- 45631-1656
- Phone
- (740) 446-1642
Authorized Official
- Name
- MR. KEVIN DAVIS
- Title
- SUPERINTENDENT
- Phone
- (740) 446-1642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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