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Organization
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
Active
Organization
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L. LONGVILLE (CHIEF ACCOUNTING OFFICER AND CONTRO)
(216) 636-7416
Entity
Organization
Contact information
Practice address
2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815
(216) 636-5437
Mailing address
6801 BRECKSVILLE RD STE 20, INDEPENDENCE, OH 44131-5062
(216) 442-5579
Taxonomy
Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
-------
—
WV
Enumeration date
01/26/2024
Last updated
01/26/2024
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