NPI 1033650163

Independent Provider

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Euclid, OH

Practice location

Address: 288 E 248th St, Euclid, OH 44123-1437
Phone: (216) 303-4144

Authorised official

Name: L'Oreal Trigg
Title: Lpn
Phone: (216) 303-4144

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence SP841892 (OH)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Ohio →

Registry record

NPI: 1033650163
Entity type: Organization
NPI issued: 8 Mar 2017
Record last updated: 8 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.