Organization
INEZ PLACE ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREEMAH ROSE (OPERATOR)
(216) 417-7178
Entity
Organization
Contact information
Practice address
10916 CHURCHILL AVE, CLEVELAND, OH 44106-1213
(216) 417-7178
Mailing address
20040 RAYMOND ST, MAPLE HEIGHTS, OH 44137-1826
(216) 417-7178
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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