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Intellectual Disabilities Intermediate Care Facility

NPI: 1194519686Individual

Specialties, Licenses & Credentials

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

Code: 320900000X

Intermediate Care Facility, Intellectual Disabilities

Code: 315P00000X

Contact & Hours

Address
19304 LONGVIEW AVE
MAPLE HEIGHTS, OH 44137

Quick Facts

NPI
1194519686
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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