Individual provider · Type 1 NPI
Gail Ann Boughton
Intellectual and/or Developmental Disabilities Residential Treatment Facility · South Euclid, OH
Practice location
4046 Harwood Rd
South Euclid, OH 44121-2737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1972380095
Gail Ann Boughton's National Provider Identifier is 1972380095, issued on Sep 12, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in South Euclid, OH. The record was last updated on Sep 12, 2023.