CHAMPAIGN RESIDENTIAL SERVICES INC. NPI 1437398054

NPI Information

CHAMPAIGN RESIDENTIAL SERVICES, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Lima, OH. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CHAMPAIGN RESIDENTIAL SERVICES, INC. NPI is 1437398054. The provider is registered as an organization entity type.
The provider Other Name Is Mary Ann Brown Residential Facility.

The provider's business location address is:

2450 MANDOLIN DRIVE
LIMA, OH
ZIP 45804
Phone: (937) 653-1320

The provider's authorized official is Than Johnson .
The authorized official title is Chief Executive Officer and has the following contact phone number (937) 653-1320.

The enumeration date for this NPI number is 2/5/2009 and was last updated on 2/5/2009.

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

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