Organization · Type 2 NPI
Cuyahoga County BD of MRDD
Intellectual Disabilities Intermediate Care Facility · Independence, OH
NPI number
1497969687
Active
Practice location
4711 E Sprague Rd
Independence, OH 44131-6227
Fax (216) 736-2702
Mailing address
1275 Lakeside Ave E
Cleveland, OH 44114-1132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 1813783 (OH) |
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 Independence
About NPI 1497969687
Cuyahoga County BD of MRDD's National Provider Identifier is 1497969687, issued on May 9, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Independence, OH. The record was last updated on Aug 22, 2020.