Organization
NEW AVENUES TO INDEPENDENCE, INC.
Active
Other names
New Avenues-Bratenahl
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL SIMMONS CPA (CHIEF FINANCIAL OFFICER)
(216) 481-1909
Entity
Organization
Contact information
Practice address
13802 LAKE SHORE BLVD, CLEVELAND, OH 44110-1905
(216) 481-1909
(216) 481-2050
Mailing address
17608 EUCLID AVE, CLEVELAND, OH 44112-1216
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
9402
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0870044
—
OH
Enumeration date
04/02/2007
Last updated
08/22/2020
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