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Organization
SOUTHWEST OHIO DEVELOPMENTAL CENTER
Active
Organization
SOUTHWEST OHIO DEVELOPMENTAL CENTER
Active
Other names
SODC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C. KRUMER MBA (SUPERINTENDENT)
(513) 732-9200
Entity
Organization
Contact information
Practice address
4399 E BAUMAN LN, BATAVIA, OH 45103-1685
(513) 732-9200
(513) 735-8232
Mailing address
4399 E BAUMAN LN, BATAVIA, OH 45103-1685
(513) 732-9200
(513) 735-8232
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1310875
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1310875
MRDD LICENSE OHIO
OH
05
—
2423694
—
OH
Enumeration date
12/14/2006
Last updated
08/30/2010
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