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Organization

TIFFIN DEVELOPMENTAL CENTER

Active
Parent organization
STATE OF OHIO DEPT. OF DD
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF OHIO DEPT. OF DD
Authorized official
MRS. LOIS M MCQUISTION (ACCOUNT CLERK)
(419) 447-1450
Entity
Organization

Contact information

Practice address
600 N RIVER RD, TIFFIN, OH 44883-1173
(419) 447-1450
(419) 448-6506
Mailing address
600 N RIVER RD, TIFFIN, OH 44883-1173
(419) 447-1450
(419) 448-6506

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
36G588
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2396107
OH
Enumeration date
01/19/2007
Last updated
08/24/2010
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