Organization · Type 2 NPI

Cuyahoga County Bd. of MRDD

Intellectual Disabilities Intermediate Care Facility · Cleveland, OH

NPI number 1104039924 Active

Practice location

19080 Bagley Rd
Cleveland, OH 44130-3310

Call (216) 736-2625 Map

Fax (216) 736-2702

Mailing address

1275 Lakeside Ave E
Cleveland, OH 44114-1132

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X1812640 (OH)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1104039924

Cuyahoga County Bd. of MRDD's National Provider Identifier is 1104039924, issued on May 8, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Cleveland, OH. The record was last updated on Aug 22, 2020.