Clearwater Homes Inc
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Geneva, OH
NPI 1962000299 · NPPES record last updated Oct 9, 2020
Key facts
- NPI
- 1962000299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- CLEARWATER HOMES INC
- Practice address
- 5254 Lake Rd E
Geneva, OH 44041-9490 - Phone
- (440) 319-9364
- NPI assigned
- Oct 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Michelle Pelley
- Title
- Administrator
- Phone
- (440) 319-9364
National Provider Directory
Locations
5254 Lake Rd E
Geneva, OH 44041
Phone (440) 319-9364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
5254 Lake Rd E
Geneva, OH 44041-9490
Mailing address
5254 Lake Rd E
Geneva, OH 44041-9490
Phone (440) 319-9364
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All providers in Geneva, OH · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.