Organization
CARE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA R HART DIRECTOR (CEO)
(216) 246-5590
Entity
Organization
Contact information
Practice address
15726 HOLMES AVE, CLEVELAND, OH 44110-2448
(216) 249-5590
(216) 862-5211
Mailing address
11470 EUCLID AVE STE 258, CLEVELAND, OH 44106-3934
(216) 249-5590
(216) 862-5211
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1818779
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075796
—
OH
Enumeration date
07/29/2013
Last updated
07/29/2013
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