CUYAHOGA COUNTY BD. OF MRDD NPI 1427262369

NPI Information

CUYAHOGA COUNTY BD. OF MRDD is an intermediate care facility mentally retarded in Cleveland, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CUYAHOGA COUNTY BD. OF MRDD NPI is 1427262369. The provider is registered as an organization entity type.
The provider Is Doing Business As Van Aken House.

The provider's business location address is:

2980 VAN AKEN BLVD
CLEVELAND, OH
ZIP 44120-862
Phone: (216) 736-2625
Fax: (216) 736-2702

The provider's authorized official is Terrence Ryan .
The authorized official title is Superintendent and has the following contact phone number (216) 736-2625.

The CLIA number assigned to this NPI record is 36D0901029 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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