Organization
DARE TO BE DIFFERENT, LLC
Active
Other names
Dare To Be Different llc
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE PETTY (PEER SUPPORTER)
(501) 313-9659
Entity
Organization
Contact information
Practice address
3568 BRINKMORE RD, CLEVELAND HEIGHTS, OH 44121-1338
(501) 313-9659
Mailing address
3568 BRINKMORE RD, CLEVELAND HEIGHTS, OH 44121-1338
(501) 313-9659
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
12/12/2022
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