Functional Living Community Supports
NPI #1679172738 in Maple Heights, Ohio
Provider Information
- NPI Number
- 1679172738
- Entity Type
- Organization
- Organization Name
- Functional Living Community Supports
- Primary Specialty
- Home Health
- Enumeration Date
- Oct 20, 2020
- Last Updated
- Oct 20, 2020
Practice Location
- Address
- 14221 REDDINGTON AVE
- City
- Maple Heights
- State
- Ohio
- ZIP Code
- 44137-3209
- Phone
- (216) 659-1098
Authorized Official
- Name
- MRS. SAUNDRA J LIGHT GIBBONS, OTR/L
- Title
- CEO
- Phone
- (216) 367-9017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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