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Koinonia Community Services Llc
Intellectual Disabilities Intermediate Care Facility in Maple Heights, Ohio
NPI 1154964542

Koinonia Community Services Llc is a Intellectual Disabilities Intermediate Care Facility based in Independence, OH. Koinonia Community Services Llc practices in Maple Heights, OH. The NPI Number for Koinonia Community Services Llc is 1154964542 and holds a License No. (Ohio).

The current practice location address for Koinonia Community Services Llc is 5041 Lee Rd, Maple Heights, OH and can be reached out via phone at 216-587-2674 and via fax at 216-663-6753.

Location: 5041 Lee Rd, Maple Heights, OH, 44131-2581
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154964542
Provider Name
Koinonia Community Services Llc
Credential
Provider Entity Type
Organization
Address
5041 Lee Rd, Maple Heights, OH, 44131-2581
Phone Number
216-587-2674
Fax Number
216-663-6753
Provider Enumeration Date
10/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5041 Lee Rd
City
Maple Heights
State
Ohio
Zip
44137-1227
Phone Number
216-587-2674
Fax Number
216-663-6753
person
Provider Business Mailing Address Details
Address
5041 Lee Rd
City
Maple Heights
State
Ohio
Zip
44137-1227
Phone Number
216-587-2674
Fax Number
216-663-6753
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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