Organization
SOCIETY FOR REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J. KESSLER (EXECUTIVE DIRECTOR)
(440) 352-8993
Entity
Organization
Contact information
Practice address
9521 LAKE SHORE BLVD, MENTOR, OH 44060-1613
(440) 352-8993
(440) 352-6632
Mailing address
9521 LAKE SHORE BLVD, MENTOR, OH 44060-1613
(440) 352-8993
(440) 352-6632
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1408560
—
OH
01
—
2688873
DAY HABILITATION
OH
Enumeration date
09/17/2007
Last updated
02/19/2009
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