person
Annette Johnson-rucker
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cleveland, Ohio
NPI 1558075242

Annette Johnson-rucker is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Cleveland, OH. Annette Johnson-rucker practices in Cleveland, OH. The NPI Number for Annette Johnson-rucker is 1558075242 and holds a License No. (Ohio).

The current practice location address for Annette Johnson-rucker is 3294 E 104Th St, Cleveland, OH and can be reached out via phone at 216-322-3006.

Location: 3294 E 104Th St, Cleveland, OH, 44108-2972
person
Provider Profile Details
NPI Number
1558075242
Provider Name
Annette Johnson-rucker
Credential
Provider Entity Type
Individual
Gender
Female
Address
3294 E 104Th St, Cleveland, OH, 44108-2972
Phone Number
216-322-3006
Fax Number
Provider Enumeration Date
01/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3294 E 104Th St
City
State
Zip
44104-5646
Phone Number
216-322-3006
Fax Number
person
Provider Business Mailing Address Details
Address
3294 E 104Th St
City
State
Zip
44104-5646
Phone Number
216-322-3006
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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