NPI 1124802368

Julian Edge

Practitioner Child Intellectual and/or Developmental Disabilities Respite Care Euclid, OH

Practice location

Address: 682 E 240th St, Euclid, OH 44123-2368
Phone: (216) 240-7967

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1124802368
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2023
Record last updated: 21 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.