Individual
MONIQUE L HURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3941 ORCHARD RD, CLEVELAND HEIGHTS, OH 44121-2411
(216) 256-4875
Mailing address
3941 ORCHARD RD, CLEVELAND HEIGHTS, OH 44121-2411
(216) 256-4875
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120949
—
OH
Enumeration date
02/22/2021
Last updated
02/22/2021
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