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Organization

A DIFFERENT EDGE RESIDENTIAL SERVICES, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAMARAH THOMAS-HUTCHINS PH.D (MANAGING PARTNER)
(216) 210-2865
Entity
Organization

Contact information

Practice address
33140 AURORA RD STE 3, SOLON, OH 44139-3650
(216) 210-2865
Mailing address
33140 AURORA RD STE 3, SOLON, OH 44139-3650
(216) 210-2865

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
10/04/2022
Last updated
10/04/2022
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