Organization · Type 2 NPI

Cuyahoga County Board of Developmental Disabilities

Intellectual Disabilities Intermediate Care Facility · Middleburg Heights, OH

NPI number 1497459572 Active

Practice location

19656 Fowles Rd
Middleburg Heights, OH 44130-6259

Call (216) 386-2263 Map

Mailing address

1275 Lakeside Ave E
Cleveland, OH 44114-1129

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.

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NPI record

NPI: 1497459572
Entity type: Organization (Type 2)
Issued: Mar 30, 2023
Last updated: Mar 30, 2023
Status: Active
Subpart: Yes of County of Cuyahoga

Other names

Cuyahoga County Board of Health · doing business as

Authorized official

Ms. Marciea Stewart
CCBH Medical Credentialing Mgr.
(216) 201-2001

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497459572

Cuyahoga County Board of Developmental Disabilities's National Provider Identifier is 1497459572, issued on Mar 30, 2023. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Middleburg Heights, OH. The record was last updated on Mar 30, 2023.