Organization
CLEARWATER HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PELLEY (ADMINISTRATOR)
(440) 319-9364
Entity
Organization
Contact information
Practice address
5254 LAKE RD E, GENEVA, OH 44041-9490
(440) 319-9364
Mailing address
5254 LAKE RD E, GENEVA, OH 44041-9490
(440) 319-9364
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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