Organization · Type 2 NPI

Beach Club Residential Living Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Geneva, OH

NPI number 1740404870 Active

Practice location

5254 Lake Rd E, Suite #3
Geneva, OH 44041-9490

Call (440) 466-0988 Map

Fax (440) 466-0315

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X2056975 (OH)

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.

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About NPI 1740404870

Beach Club Residential Living Inc's National Provider Identifier is 1740404870, issued on Apr 12, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Geneva, OH. The record was last updated on Aug 22, 2020.