Organization
BETH SHALOM OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL CROWLEY (OWNER)
(267) 575-2225
Entity
Organization
Contact information
Practice address
15802 PARKGROVE AVE, CLEVELAND, OH 44110-1418
(267) 575-2225
Mailing address
15802 PARKGROVE AVE, CLEVELAND, OH 44110-1418
(267) 575-2225
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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