Organization
KOINONIA HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE R BEASTROM (CEO)
(216) 588-8777
Entity
Organization
Contact information
Practice address
6161 OAK TREE BLVD, SUITE 400, INDEPENDENCE, OH 44131-2516
(216) 588-8777
(216) 588-5670
Mailing address
6161 OAK TREE BLVD, SUITE 400, INDEPENDENCE, OH 44131-2516
(216) 588-8777
(216) 588-5670
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1800975
CONTRACT VENDOR NUMBER
OH
Enumeration date
01/03/2007
Last updated
07/21/2022
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