UNION CHRISTEL MANOR INC. NPI 1750467510

NPI Information

UNION CHRISTEL MANOR, INC. is an intermediate care facility mentally retarded in Union City, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. UNION CHRISTEL MANOR, INC. NPI is 1750467510. The provider is registered as an organization entity type.
The provider Is Doing Business As Ucm Residential Services.

The provider's business location address is:

400 S MELVIN ELEY AVE
UNION CITY, OH
ZIP 45390-611
Phone: (937) 968-6265
Fax: (937) 968-6883

The provider's authorized official is Robert Sydney Thompson .
The authorized official title is President/treasurer and has the following contact phone number (937) 643-3757.

The CLIA number assigned to this NPI record is 36D2202677 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 5/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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