Champaign Residential Services, Inc.

NPI 1033264619 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1033264619
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THAN THAN
Position CHIEF EXECUTIVE OFFICER
Phone (937) 653-1320
Fax (937) 653-1321
Practice Location
1150 SCIOTO ST
SUITE 100
URBANA OH, 43078-2289, US
Phone (937) 653-1320
Fax (937) 653-1321
Business Location
PO BOX 29
URBANA OH, 43078-0029, US
Phone (937) 653-1320
Fax (937) 653-1321
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Champaign Residential Services, Inc. NPI is 1033264619, taxonomy code is 320600000X Champaign Residential Services, Inc. physically located at 1150 Scioto St, Urbana OH, 43078-2289. NPI Number 1033115704 has the healthcare provider type.

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1033264619 NPI number is provided on an as is basis without warranty of any kind. 1033264619 is maintained by the National Plan & Provider Enumeration System. The contents of Champaign Residential Services, Inc. are for informational purposes only.