INDEPENDENT PROVIDER is a community based residential treatment facility, intellectual and/or developmental disabilities in Euclid, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. INDEPENDENT PROVIDER NPI is 1033650163. The provider is registered as an organization entity type.
The provider's business location address is:
288 E 248TH ST
EUCLID, OH
ZIP 44123-437
Phone: (216) 303-4144
The provider's authorized official is L'oreal Trigg .
The authorized official title is Lpn and has the following contact phone number (216) 303-4144.
The enumeration date for this NPI number is 3/8/2017 and was last updated on 3/8/2017.