Organization · Type 2 NPI
Koinonia Community Services LLC
Intellectual Disabilities Intermediate Care Facility · Maple Heights, OH
NPI number
1154964542
Active
Practice location
5041 Lee Rd
Maple Heights, OH 44137-1227
Fax (216) 663-6753
Mailing address
6161 Oak Tree Blvd Ste 400
Independence, OH 44131-2581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
2 other providers at this address
Other intellectual disabilities intermediate care facility providers in Maple Heights
About NPI 1154964542
Koinonia Community Services LLC's National Provider Identifier is 1154964542, issued on Oct 18, 2019. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Maple Heights, OH. The record was last updated on Oct 18, 2019.