Organization · Type 2 NPI
Koinonia Community Services LLC
Intellectual Disabilities Intermediate Care Facility · Independence, OH
NPI number
1770126161
Active
Practice location
4711 E Sprague Rd
Independence, OH 44131-6227
Fax (440) 526-1941
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.
2 other providers at this address
Other intellectual disabilities intermediate care facility providers in Independence
About NPI 1770126161
Koinonia Community Services LLC's National Provider Identifier is 1770126161, issued on Oct 18, 2019. 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 Oct 18, 2019.