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CHERYL BASTULLI

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

NPI: 1902402795Individual

Specialties, Licenses & Credentials

Driver

Driver

Code: 172A00000X

274348(OH)
Adult Day Care Clinic/Center

Clinic/Center — Adult Day Care

Code: 261QA0600X

274348(OH)
Non-emergency Medical Transport (VAN)

Non-emergency Medical Transport (VAN)

Code: 343900000X

274348(OH)
Private Vehicle

Private Vehicle

Code: 347C00000X

274348(OH)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary

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

Code: 320900000X

274348(OH)

Contact & Hours

Address
1135 E 346TH ST
EASTLAKE, OH 44095

Quick Facts

NPI
1902402795
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
5
Locations
1

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