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Contact Information

CUYAHOGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES
1275 LAKESIDE AVE., E.
CLEVELAND, OH44114
 Phone: 216-241-8230
 Fax: 216-861-0253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for CUYAHOGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES

NPI # 1144825969
LBN Legal business name CUYAHOGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES
Authorized official KELLY PETTY - (SUPERINTENDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2020
Last updated 12/01/2020 - About 6 years ago
Identifiers
OH Medicaid 1800019
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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