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Organization
CUYAHOGA COUNTY BD. OF MRDD
Active
Organization
CUYAHOGA COUNTY BD. OF MRDD
Active
Other names
Bellbrook House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE RYAN (SUPERINTENDENT)
(216) 736-2625
Entity
Organization
Contact information
Practice address
5936 W 130TH ST, BROOK PARK, OH 44142-2607
(216) 736-2625
(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
1811758
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0776030
—
OH
Enumeration date
05/09/2007
Last updated
08/22/2020
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