Organization
MONARCH LIFEWORKS
Active
Parent organization
BELLEFAIRE JCB
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLEFAIRE JCB
Authorized official
ADAM G JACOBS PH.D. (PRESIDENT)
(216) 932-2800
Entity
Organization
Contact information
Practice address
3205 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4211
(216) 321-6744
Mailing address
3205 FAIRMOUNT BLVD, CLEVELAND HEIGHTS, OH 44118-4211
(216) 321-6744
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
1819198
OH
251S00000X
Community/Behavioral Health Agency
Primary
1819198
OH
261QA0600X
Adult Day Care Clinic/Center
1819198
OH
283X00000X
Rehabilitation Hospital
1819198
OH
343900000X
Non-emergency Medical Transport (VAN)
1819198
OH
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078929
—
OH
01
—
1819198
DEPARTMENT OF DEVELOPMENTAL DISABILITIES
OH
Enumeration date
02/04/2013
Last updated
10/10/2024
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