Organization Name: | THE JOHANNA GRASSELLI REHABILITATION & EDUCATION CENTER, INC |
NPI Number: | 1740349208 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA COLOMBO (EXECUTIVE DIRECTOR) |
Mailing Address: | 19350 Euclid Ave Euclid |
State: | OH US |
Postal Code: | 441171425 |
Phone Number: | 2164814823 |
Fax Number: | 2164814154 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | 1810946 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |