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Gail Ann Boughton
Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Euclid, Ohio
NPI 1972380095

Gail Ann Boughton is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in South Euclid, OH. Gail Ann Boughton practices in South Euclid, OH. The NPI Number for Gail Ann Boughton is 1972380095 and holds a License No. (Ohio).

The current practice location address for Gail Ann Boughton is 4046 Harwood Rd, South Euclid, OH and can be reached out via phone at 216-213-2954.

Location: 4046 Harwood Rd, South Euclid, OH, 44121-2737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972380095
Provider Name
Gail Ann Boughton
Credential
Provider Entity Type
Individual
Gender
Female
Address
4046 Harwood Rd, South Euclid, OH, 44121-2737
Phone Number
216-213-2954
Fax Number
Provider Enumeration Date
09/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4046 Harwood Rd
City
South Euclid
State
Ohio
Zip
44121-2737
Phone Number
216-213-2954
Fax Number
person
Provider Business Mailing Address Details
Address
4046 Harwood Rd
City
South Euclid
State
Ohio
Zip
44121-2737
Phone Number
216-213-2954
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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