# DARE TO BE DIFFERENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dare To Be Different llc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710536354
- **Authorized official:** BERNICE PETTY (PEER SUPPORTER)
- **Authorized official phone:** (501) 313-9659

## Contact information

- **Practice address:** 3568 BRINKMORE RD, CLEVELAND HEIGHTS, OH 44121-1338
- **Practice address phone:** (501) 313-9659
- **Mailing address:** 3568 BRINKMORE RD, CLEVELAND HEIGHTS, OH 44121-1338
- **Mailing address phone:** (501) 313-9659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2019
- **Last updated:** 12/12/2022