Organization
BELLEFAIRE JEWISH CHILDREN'S BUREAU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH JOHNSON (GENERAL COUNSEL)
(216) 320-8222
Entity
Organization
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-8222
(213) 320-8733
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-8222
(213) 320-8733
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
31712
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3107739
—
OH
Enumeration date
03/21/2018
Last updated
03/21/2018
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