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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