Organization
THE CHESTERFIELD HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON A. ELAM (OWNER/MANAGER)
(216) 255-0533
Entity
Organization
Contact information
Practice address
12411 CHESTERFIELD AVENUE, CLEVELAND, OH 44108
(216) 255-0533
(216) 851-5898
Mailing address
12411 CHESTERFIELD AVENUE, CLEVELAND, OH 44108
(216) 255-0533
(216) 851-5898
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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