Individual provider · Type 1 NPI
Kyle Brian Lockhart Iv
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · South Euclid, OH
Practice location
3846 Warrendale Rd
South Euclid, OH 44118-2320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1659185643
Kyle Brian Lockhart Iv's National Provider Identifier is 1659185643, issued on Feb 3, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in South Euclid, OH. The record was last updated on Feb 3, 2025.