Independent Provider
Independent Provider is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Euclid, Ohio. Licensed in Ohio. Registered with an NPI since 2017.
- Licensed in
- OH
- In the registry since
- 2017
Practice location Address checks out
288 E 248th StEuclid, OH 44123-1437
Phone: (216) 303-4144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence SP841892 (OH) |
|---|
Record details
| NPI number | 1033650163 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | L'Oreal Trigg — Lpn · (216) 303-4144 |
| NPI enumerated | March 8, 2017 |
| Last updated in NPPES | March 8, 2017 |
| Mailing address | 288 E 248th St, Euclid, OH 44123-1437 |
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