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Koinonia Community Services Llc
Intellectual Disabilities Intermediate Care Facility in Cleveland, Ohio
NPI 1457994840

Koinonia Community Services Llc is a Intellectual Disabilities Intermediate Care Facility based in Independence, OH. Koinonia Community Services Llc practices in Cleveland, OH. The NPI Number for Koinonia Community Services Llc is 1457994840 and holds a License No. (Ohio).

The current practice location address for Koinonia Community Services Llc is 2980 Van Aken Blvd, Cleveland, OH and can be reached out via phone at 216-561-7415 and via fax at 216-561-0367.

Location: 2980 Van Aken Blvd, Cleveland, OH, 44131-2581
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457994840
Provider Name
Koinonia Community Services Llc
Credential
Provider Entity Type
Organization
Address
2980 Van Aken Blvd, Cleveland, OH, 44131-2581
Phone Number
216-561-7415
Fax Number
216-561-0367
Provider Enumeration Date
10/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2980 Van Aken Blvd
City
Cleveland
State
Ohio
Zip
44120-2862
Phone Number
216-561-7415
Fax Number
216-561-0367
person
Provider Business Mailing Address Details
Address
2980 Van Aken Blvd
City
Cleveland
State
Ohio
Zip
44120-2862
Phone Number
216-561-7415
Fax Number
216-561-0367
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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