Individual
MS. LIMARY CARABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21860 OVERLOOK DR, FAIRVIEW PARK, OH 44126-2639
(216) 316-2190
Mailing address
4220 ARDMORE AVE, CLEVELAND, OH 44109-3914
(216) 316-2190
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107854069599
—
OH
Enumeration date
12/29/2020
Last updated
12/29/2020
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