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North Shore Residential Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Berea, Ohio
NPI 1982825915

North Shore Residential Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Berea, OH. North Shore Residential Services practices in Berea, OH. The NPI Number for North Shore Residential Services is 1982825915 and holds a License No. 1802624 (Ohio).

The current practice location address for North Shore Residential Services is 7993 Lewis Rd, Berea, OH and can be reached out via phone at 440-427-9898 and via fax at 440-427-9885.

Location: 7993 Lewis Rd, Berea, OH, 44017-2918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982825915
Provider Name
North Shore Residential Services
Credential
Provider Entity Type
Organization
Address
7993 Lewis Rd, Berea, OH, 44017-2918
Phone Number
440-427-9898
Fax Number
440-427-9885
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2001907 05 OH
2001934 05 OH
institution
Provider Business Practice Location Address Details
Address
7993 Lewis Rd
City
Berea
State
Ohio
Zip
44017-2918
Phone Number
440-427-9898
Fax Number
440-427-9885
person
Provider Business Mailing Address Details
Address
7993 Lewis Rd
City
Berea
State
Ohio
Zip
44017-2918
Phone Number
440-427-9898
Fax Number
440-427-9885
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
1802624 (Ohio)
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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