Southwest Ohio Developmental Center in Batavia - Intermediate Care Facility, Intellectual Disabilities
Southwest Ohio Developmental Center - NPI 1124180658
Southwest Ohio Developmental Center is a Intermediate Care Facility, Intellectual Disabilities in Batavia, Ohio. Southwest Ohio Developmental Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Southwest Ohio Developmental Center is 1124180658. The last update date is 2010-08-30.
Southwest Ohio Developmental Center's current location address is 4399 E Bauman Ln, Batavia, Ohio. You can contact this provider via phone number 5137329200 and fax number 5137358232. The mailing address for Southwest Ohio Developmental Center is 4399 E Bauman Ln, Batavia, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Southwest Ohio Developmental Center |
---|---|
Address | 4399 E Bauman Ln, Batavia, Ohio |
Phone Number | 5137329200 |
Fax Number | 5137358232 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SUPERINTEN |
---|---|
Authorized Official Name | Krumer C. James |
Credentials | MBA |
Telephone Number | 5137329200 |
NPI Number Detail
NPI Number | 1124180658 |
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Provider Enumeration Date | 2006-12-14 |
Last Updated Date | 2010-08-30 |
Provider Mailing Address Detail
Address | 4399 E Bauman Ln |
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City | Batavia |
State | Ohio (OH) |
Post Code | 451031685 |
Phone Number | 5137329200 |
Fax Number | 5137358232 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
---|---|
Taxonomy | 315P00000X |
Licence No | 1310875 |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1310875 | OH | MRDD LICENSE OHIO | |
2423694 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Southwest Ohio Developmental Center by the Centers for Medicare & Medicaid Services?
The Southwest Ohio Developmental Center has been issued the NPI (National Provider Identifier) 1124180658 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Southwest Ohio Developmental Center?
The Southwest Ohio Developmental Center is physically situated at 4399 E Bauman Ln, in the city of Batavia, state of OH, with the postal code 451031685.
What is Southwest Ohio Developmental Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Southwest Ohio Developmental Center is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
On what date did the Southwest Ohio Developmental Center receive its 1124180658 assignment from the Centers for Medicare & Medicaid Services?
The Southwest Ohio Developmental Center was assigned its 1124180658 by the Centers for Medicare & Medicaid Services on 2006-12-14.
As of what date were the details pertaining to Southwest Ohio Developmental Center last refreshed?
The information related to the Southwest Ohio Developmental Center, including its address, specialty, and other relevant details, was last updated on 2010-08-30.
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