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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 - Phone
- (267) 581-3923
Quick Facts
- NPI
- 1194519686
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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