Individual provider · Type 1 NPI

Donald Alfred Woodruff Iii

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bedford Heights, OH

NPI number 1104527597 Active

Practice location

5371 Holly Rd
Bedford Heights, OH 44146-1501

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000X1848112 (OH)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X1828117 (OH)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Another provider at this address

About NPI 1104527597

Donald Alfred Woodruff Iii's National Provider Identifier is 1104527597, issued on Mar 13, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Bedford Heights, OH. The record was last updated on Mar 13, 2023.