Organization · Type 2 NPI

Lake County Board DD

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

NPI number 1316515786 Active

Practice location

8121 Deepwood Blvd Bldg A2
Mentor, OH 44060-7703

Fax (440) 350-5290

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

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.

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About NPI 1316515786

Lake County Board DD's National Provider Identifier is 1316515786, issued on Jun 14, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Mentor, OH. The record was last updated on Jun 14, 2021.