Department Of Mental Retardation And Developmental Disabilities

LBN: Department Of Mental Retardation And Developmental Disabilities
Department Of Mental Retardation And Developmental Disabilities is an health care organization with primary practice located at 1601 W Broad St , Columbus OH 43222-1054. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Department Of Mental Retardation And Developmental Disabilities can be contacted via phone (614) 272-0509, or through Snow, D Michael via phone (614) 272-0509.

Contact Information

Primary practice address
1601 W Broad St Columbus OH 43222-1054
Phone: (614) 272-0509
Fax: (614) 272-1054
Website:
Map and Directions
Authorized official contact:
Name: Snow, D Michael
Phone: (614) 272-0509

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 2514097 Ohio
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2514097 Ohio
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 2514097 Ohio

Profile Details

NPI number 1174670285
LBN Legal business name Department Of Mental Retardation And Developmental Disabilities
DBA Doing business as
Authorized official Snow, D Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Dec 5th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174670285 NPPES
Ohio MEDICAID 2438080

Popular Providers