Organization · Type 2 NPI
Koinonia Community Services LLC
Intellectual Disabilities Intermediate Care Facility · Olmsted Township, OH
NPI number
1710520663
Active
Practice location
6797 Stearns Road
Olmsted Township, OH 44138
Fax (440) 235-2930
Mailing address
6161 Oak Tree Blvd Ste 400
Independence, OH 44131-2581
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.
Another provider at this address
Other intellectual disabilities intermediate care facility providers in Olmsted Township
About NPI 1710520663
Koinonia Community Services LLC's National Provider Identifier is 1710520663, issued on Oct 23, 2019. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Olmsted Township, OH. The record was last updated on Oct 23, 2019.