Organization · Type 2 NPI

Koinonia Community Services LLC

Intellectual Disabilities Intermediate Care Facility · Cleveland, OH

NPI number 1457994840 Active

Practice location

2980 Van Aken Blvd
Cleveland, OH 44120-2862

Call (216) 561-7415 Map

Fax (216) 561-0367

Mailing address

6161 Oak Tree Blvd Ste 400
Independence, OH 44131-2581

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

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

2 other providers at this address

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About NPI 1457994840

Koinonia Community Services LLC's National Provider Identifier is 1457994840, issued on Oct 18, 2019. 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 Oct 18, 2019.