# CLEARWATER HOMES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962000299
- **Authorized official:** MICHELLE PELLEY (ADMINISTRATOR)
- **Authorized official phone:** (440) 319-9364

## Contact information

- **Practice address:** 5254 LAKE RD E, GENEVA, OH 44041-9490
- **Practice address phone:** (440) 319-9364
- **Mailing address:** 5254 LAKE RD E, GENEVA, OH 44041-9490
- **Mailing address phone:** (440) 319-9364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2020
- **Last updated:** 10/09/2020