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Lake County Board Dd
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Mentor, Ohio
NPI 1275107880

Lake County Board Dd is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Mentor, OH. Lake County Board Dd practices in Mentor, OH. The NPI Number for Lake County Board Dd is 1275107880 and holds a License No. (Ohio).

The current practice location address for Lake County Board Dd is 8121 Deepwood Boulevard, Mentor, OH and can be reached out via phone at 440-350-5100 and via fax at 440-350-5290. You can also correspond with Lake County Board Dd through the mailing address at 8121 DEEPWOOD BOULEVARD, MENTOR, OH - 44060-7703 (mailing address contact number: 440-350-5100).

Location: 8121 Deepwood Boulevard, Mentor, OH, 44060-7703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275107880
Provider Name
Lake County Board Dd
Credential
Provider Entity Type
Organization
Address
8121 Deepwood Boulevard, Mentor, OH, 44060-7703
Phone Number
440-350-5100
Fax Number
440-350-5290
Provider Enumeration Date
05/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8121 Deepwood Boulevard
City
Mentor
State
Ohio
Zip
44060-7703
Phone Number
440-350-5100
Fax Number
440-350-5290
person
Provider Business Mailing Address Details
Address
8121 Deepwood Boulevard
City
Mentor
State
Ohio
Zip
44060-7703
Phone Number
440-350-5100
Fax Number
440-350-5290
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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