Organization
INNER PEACE CLEVELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FOX (EXECUTIVE DIRECTOR)
(216) 644-3296
Entity
Organization
Contact information
Practice address
10237 BEREA RD, CLEVELAND, OH 44102-2527
(216) 644-3296
Mailing address
10237 BEREA RD, CLEVELAND, OH 44102-2527
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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