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Organization
CUYAHOGA COUNTY BD OF MRDD
Active
Organization
CUYAHOGA COUNTY BD OF MRDD
Active
Other names
Green House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE RYAN (SUPERINTENDENT)
(216) 736-2625
Entity
Organization
Contact information
Practice address
1905 GREEN RD, CLEVELAND, OH 44112-1021
(216) 736-2526
(216) 736-2702
Mailing address
1275 LAKESIDE AVE E, CLEVELAND, OH 44114-1132
(216) 736-2625
(216) 736-2702
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1815533
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2538525
—
OH
Enumeration date
05/09/2007
Last updated
08/22/2020
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