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Organization
CHAMPAIGN RESIDENTIAL SERVICES, INC.
Active
Organization
CHAMPAIGN RESIDENTIAL SERVICES, INC.
Active
Other names
CRSI
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A DELONG (PRESIDENT)
(937) 653-1320
Entity
Organization
Contact information
Practice address
710 S MAIN ST, MOUNT VERNON, OH 43050-9260
(937) 653-1320
(937) 653-1321
Mailing address
1150 SCIOTO ST, PO BOX 29, URBANA, OH 43078-2289
(937) 653-1320
(937) 653-1321
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
OH
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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