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Koinonia Community Services Llc
Intellectual Disabilities Intermediate Care Facility in Independence, Ohio
NPI 1770126161

Koinonia Community Services Llc is a Intellectual Disabilities Intermediate Care Facility based in Independence, OH. Koinonia Community Services Llc practices in Independence, OH. The NPI Number for Koinonia Community Services Llc is 1770126161 and holds a License No. (Ohio).

The current practice location address for Koinonia Community Services Llc is 4711 E Sprague Rd, Independence, OH and can be reached out via phone at 440-526-9462 and via fax at 440-526-1941.

Location: 4711 E Sprague Rd, Independence, OH, 44131-2581
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770126161
Provider Name
Koinonia Community Services Llc
Credential
Provider Entity Type
Organization
Address
4711 E Sprague Rd, Independence, OH, 44131-2581
Phone Number
440-526-9462
Fax Number
440-526-1941
Provider Enumeration Date
10/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4711 E Sprague Rd
City
Independence
State
Ohio
Zip
44131-6227
Phone Number
440-526-9462
Fax Number
440-526-1941
person
Provider Business Mailing Address Details
Address
4711 E Sprague Rd
City
Independence
State
Ohio
Zip
44131-6227
Phone Number
440-526-9462
Fax Number
440-526-1941
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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