Individual
CAROL ANN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23494 CONCORD DR, WESTLAKE, OH 44145-2718
(216) 272-1629
Mailing address
23494 CONCORD DR, WESTLAKE, OH 44145-2718
(216) 272-1629
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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