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Organization

SPECIAL CREATIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARLANA KENDRICKS (PRESIDENT/CEO)
(216) 773-2337
Entity
Organization

Contact information

Practice address
27801 EUCLID AVE, EUCLID, OH 44132-3549
(216) 374-1731
Mailing address
737 QUILLIAMS RD, SOUTH EUCLID, OH 44121-1965
(216) 773-2337

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
07/10/2025
Last updated
07/10/2025
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