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Ms. Cheryl Bastulli
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Eastlake, Ohio
NPI 1902402795

Cheryl Bastulli is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Eastlake, OH. Cheryl Bastulli practices in Eastlake, OH. The NPI Number for Cheryl Bastulli is 1902402795 and holds a License No. 274348 (Ohio).

The current practice location address for Cheryl Bastulli is 1135 E 346Th St, Eastlake, OH and can be reached out via phone at 440-669-0640.

Location: 1135 E 346Th St, Eastlake, OH, 44095-2947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902402795
Provider Name
Cheryl Bastulli
Credential
Provider Entity Type
Individual
Gender
Female
Address
1135 E 346Th St, Eastlake, OH, 44095-2947
Phone Number
440-669-0640
Fax Number
Provider Enumeration Date
12/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1135 E 346Th St
City
Eastlake
State
Ohio
Zip
44095-2947
Phone Number
440-669-0640
Fax Number
person
Provider Business Mailing Address Details
Address
1135 E 346Th St
City
Eastlake
State
Ohio
Zip
44095-2947
Phone Number
440-669-0640
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
274348 (Ohio)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
274348 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
274348 (Ohio)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 4
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
274348 (Ohio)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
person
Provider's Taxonomy Details 5
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
274348 (Ohio)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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