Organization · Type 2 NPI
Independent Provider
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Euclid, OH
Practice location
288 E 248th St
Euclid, OH 44123-1437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | SP841892 (OH) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1033650163
Independent Provider's National Provider Identifier is 1033650163, issued on Mar 8, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Euclid, OH. The record was last updated on Mar 8, 2017.