# CLEVELAND CLINC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184025975
- **Authorized official:** DANIEL MEDVE (DIRECTOR)
- **Authorized official phone:** (216) 973-3321

## Contact information

- **Practice address:** 2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815
- **Practice address phone:** (216) 448-6440
- **Mailing address:** 2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283XC2000X | Children's Rehabilitation Hospital | — | OH | Yes |

## Other

- **Enumeration date:** 09/11/2014
- **Last updated:** 01/06/2022
