Organization · Type 2 NPI
Koinonia Community Services LLC
Intellectual Disabilities Intermediate Care Facility · Broadview Heights, OH
NPI number
1972146371
Active
Practice location
2491 E Wallings Rd
Broadview Heights, OH 44147-1371
Fax (440) 546-0648
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 Broadview Heights
About NPI 1972146371
Koinonia Community Services LLC's National Provider Identifier is 1972146371, issued on Oct 18, 2019. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Broadview Heights, OH. The record was last updated on Oct 18, 2019.