Individual
KYLE BRIAN LOCKHART IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3846 WARRENDALE RD, SOUTH EUCLID, OH 44118-2320
(216) 688-9013
Mailing address
3846 WARRENDALE RD, SOUTH EUCLID, OH 44118-2320
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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