Organization
INNER CITY LIVING INC
Active
Other names
Inner City Living
Organization subpart
No
Provider details
NPI number
Authorized official
LANIECE DAVIS (PRESIDENT)
(216) 288-4997
Entity
Organization
Contact information
Practice address
10323 SLADDEN AVE, CLEVELAND, OH 44125-1560
(216) 288-4997
Mailing address
10323 SLADDEN AVE, CLEVELAND, OH 44125-1560
(216) 288-4997
(216) 650-8568
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
2711775
OH
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
347C00000X
Private Vehicle
Primary
2711775
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2711775
—
OH
05
—
M1808388
—
OH
Enumeration date
07/31/2007
Last updated
09/15/2024
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