Organization
INNOVATIONS DEVELOPMENT & GROWTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATONYA MARIE CUNNINGHAM (CEO)
(216) 832-1004
Entity
Organization
Contact information
Practice address
2259 S. TAYLOR RD, UNIVERSITY HTS, OH 44118-3436
(216) 832-1004
Mailing address
2259 S. TAYLOR RD, UNIVERSITY HTS, OH 44118-3436
(216) 832-1004
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1817163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061797
—
OH
Enumeration date
09/18/2012
Last updated
09/18/2012
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