OHIO DEPARTMENT OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES NPI 1962544635

NPI Information

OHIO DEPARTMENT OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES is an intermediate care facility mentally retarded in Gallipolis, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. OHIO DEPARTMENT OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES NPI is 1962544635. The provider is registered as an organization entity type.
The provider Is Doing Business As Gallipolis Developmental Center.

The provider's business location address is:

2500 OHIO AVE
GALLIPOLIS, OH
ZIP 45631-656
Phone: (740) 446-1642
Fax: (740) 446-1341

The provider's authorized official is Kevin Davis .
The authorized official title is Superintendent and has the following contact phone number (740) 446-1642.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 2/11/2009.

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

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.