Organization · Type 2 NPI
Cuyahoga County Bd. of MRDD
Intellectual Disabilities Intermediate Care Facility · Brook Park, OH
NPI number
1609080910
Active
Practice location
5936 W 130th St
Brook Park, OH 44142-2607
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 | 1811758 (OH) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
Other intellectual disabilities intermediate care facility providers in Brook Park
About NPI 1609080910
Cuyahoga County Bd. of MRDD's National Provider Identifier is 1609080910, issued on May 9, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Brook Park, OH. The record was last updated on Aug 22, 2020.