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Organization

INDEPENDENT PROVIDER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
L'OREAL TRIGG (LPN)
(216) 303-4144
Entity
Organization

Contact information

Practice address
288 E 248TH ST, EUCLID, OH 44123-1437
(216) 303-4144
Mailing address
288 E 248TH ST, EUCLID, OH 44123-1437

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
SP841892
OH

Other

Enumeration date
03/08/2017
Last updated
03/08/2017
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