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
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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