BLOSSOM HILL INC. NPI 1609085844

NPI Information

BLOSSOM HILL INC. is an intermediate care facility mentally retarded in Westlake, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BLOSSOM HILL INC. NPI is 1609085844. The provider is registered as an organization entity type.
The provider Is Doing Business As Center Ridge House.

The provider's business location address is:

28700 CENTER RIDGE RD
WESTLAKE, OH
ZIP 44145-213
Phone: (440) 892-2042
Fax: (440) 892-7768

The provider's authorized official is Lynne M. Urbanski .
The authorized official title is Director and has the following contact phone number (440) 892-2042.

The CLIA number assigned to this NPI record is 36D2200782 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/23/2007.

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:

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