Organization
CUYAHOGA COUNTY BD OF MRDD
Active
Other names
Oak House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE RYAN (SUPERINTENDENT)
(216) 736-2625
Entity
Organization
Contact information
Practice address
26365 TRYON RD, BEDFORD, OH 44146-5969
(216) 736-2625
(216) 736-2702
Mailing address
1275 LAKESIDE AVE E, CLEVELAND, OH 44114-1132
(216) 736-2625
(216) 736-2702
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1814175
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0899194
—
OH
Enumeration date
05/14/2007
Last updated
08/22/2020
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