Oak Grove Manor Mrdd

NPI 1285762450 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1285762450
Enumeration Date 03/01/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OSCAR G OSCAR
Position CONTROLLER
Phone (614) 459-2482
Fax (614) 459-2641
Practice Location
1670 CRIDER RD
MANSFIELD OH, 44903-9268, US
Phone (614) 459-2482
Fax (614) 459-2641
Business Location
1661 OLD HENDERSON RD
COLUMBUS OH, 43220-3644, US
Phone (614) 459-2482
Fax (614) 459-2641
Toxanomy
Taxonomy Code 315P00000X
License State Ohio
License Number 1783N
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According to our database, Oak Grove Manor Mrdd NPI is 1285762450, taxonomy code is 315P00000X and license number is 1783N, license state is located at Ohio. Oak Grove Manor Mrdd physically located at 1670 Crider Rd, Mansfield OH, 44903-9268. NPI Number 1033115704 has the healthcare provider type.

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1285762450 NPI number is provided on an as is basis without warranty of any kind. 1285762450 is maintained by the National Plan & Provider Enumeration System. The contents of Oak Grove Manor Mrdd are for informational purposes only.