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Organization

NORTH SHORE RESIDENTIAL SERVICES

Active
Other names
North Shore Placement Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT POFFENBERGER (DIRECTOR)
(440) 427-9898
Entity
Organization

Contact information

Practice address
7993 LEWIS RD, BEREA, OH 44017-2918
(440) 427-9898
(440) 427-9885
Mailing address
7993 LEWIS RD, BEREA, OH 44017-2918
(440) 427-9898
(440) 427-9885

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1802624
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2001907
OH
05
2001934
OH
Enumeration date
05/01/2007
Last updated
08/22/2020
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