SOUTH VIENNA GROUP HOMES INC. NPI 1104038637

NPI Information

SOUTH VIENNA GROUP HOMES, INC. is an intermediate care facility mentally retarded in South Vienna, OH. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. SOUTH VIENNA GROUP HOMES, INC. NPI is 1104038637. The provider is registered as an organization entity type.
The provider Is Doing Business As Vienna Meadows.

The provider's business location address is:

125 EAST NATIONAL ROAD
SOUTH VIENNA, OH
ZIP 45369-742
Phone: (937) 568-4342
Fax: (937) 568-4265

The provider's authorized official is Brian Colleran .
The authorized official title is President and has the following contact phone number (440) 614-0160.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 10/22/2007.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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