Organization
FIRST ALLIANCE HEALTHCARE OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALEXANDER (EXECUTIVE DIRECTOR)
(202) 450-0351
Entity
Organization
Contact information
Practice address
11201 SHAKER BLVD STE 308, CLEVELAND, OH 44104-3871
(216) 417-8813
Mailing address
11201 SHAKER BLVD STE 308, CLEVELAND, OH 44104-3871
(216) 417-8813
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314657
—
OH
Enumeration date
06/26/2021
Last updated
06/26/2021
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