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Organization
NORTHEAST CARE CENTER, INC.
Active
Organization
NORTHEAST CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN GLAZE (DIRECTOR OF QA/QI)
(440) 582-3300
Entity
Organization
Contact information
Practice address
250 MAPLELAWN DR, BEREA, OH 44017-2815
(440) 234-9407
Mailing address
12627 YORK RD, NORTH ROYALTON, OH 44133-3616
(440) 582-3300
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
01/31/2020
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