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Cuyahoga County Bd. Of Mrdd
Intellectual Disabilities Intermediate Care Facility in Brook Park, Ohio
NPI 1609080910

Cuyahoga County Bd. Of Mrdd is a Intellectual Disabilities Intermediate Care Facility based in Cleveland, OH. Cuyahoga County Bd. Of Mrdd practices in Brook Park, OH. The NPI Number for Cuyahoga County Bd. Of Mrdd is 1609080910 and holds a License No. 1811758 (Ohio).

The current practice location address for Cuyahoga County Bd. Of Mrdd is 5936 W 130Th St, Brook Park, OH and can be reached out via phone at 216-736-2625 and via fax at 216-736-2702. You can also correspond with Cuyahoga County Bd. Of Mrdd through the mailing address at 1275 LAKESIDE AVE E, CLEVELAND, OH - 44114-1132 (mailing address contact number: 216-736-2625).

Location: 5936 W 130Th St, Brook Park, OH, 44114-1132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609080910
Provider Name
Cuyahoga County Bd. Of Mrdd
Credential
Provider Entity Type
Organization
Address
5936 W 130Th St, Brook Park, OH, 44114-1132
Phone Number
216-736-2625
Fax Number
216-736-2702
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0776030 05 OH
institution
Provider Business Practice Location Address Details
Address
5936 W 130Th St
City
Brook Park
State
Ohio
Zip
44142-2607
Phone Number
216-736-2625
Fax Number
216-736-2702
person
Provider Business Mailing Address Details
Address
1275 Lakeside Ave E
City
Cleveland
State
Ohio
Zip
44114-1132
Phone Number
216-736-2625
Fax Number
216-736-2702
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
1811758 (Ohio)
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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