Annette Johnson-Rucker
Annette Johnson-Rucker is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cleveland, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3294 E 104th StCleveland, OH 44104-5646
Phone: (216) 322-3006
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1558075242 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 9, 2023 |
| Last updated in NPPES | January 9, 2023 |
| Certification date | January 9, 2023 |
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