NPI 1225710825

Beth Shalom Ohio LLC

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

Practice location

Address: 15802 Parkgrove Ave, Cleveland, OH 44110-1418
Phone: (267) 575-2225

Authorised official

Name: Gabriel Crowley
Title: Owner
Phone: (267) 575-2225

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1225710825
Entity type: Organization
NPI issued: 2 Aug 2023
Record last updated: 2 Aug 2023

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.