NPI 1285762450

Oak Grove Manor Mrdd

Organisation Intellectual Disabilities Intermediate Care Facility Mansfield, OH

Practice location

Address: 1670 Crider Rd, Mansfield, OH 44903-9268
Phone: (614) 459-2482
Fax: (614) 459-2641
Mailing address: 1661 Old Henderson Rd, Columbus, OH 43220-3644

Authorised official

Name: Oscar G Aleman
Title: Controller
Phone: (614) 459-2482

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 1783N (OH)

Other Intermediate Care Facility, Intellectual Disabilities providers in Ohio →

Registry record

NPI: 1285762450
Entity type: Organization
NPI issued: 1 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.