Koinonia Community Services LLC

NPI #1710520663 in Olmsted Twp, Ohio

Provider Information

NPI Number
1710520663
Entity Type
Organization
Organization Name
Koinonia Community Services LLC
Subpart
Yes (part of a larger organization)
Parent Organization
KOINONIA COMMUNITY SERVICES LLC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Oct 23, 2019
Last Updated
Oct 23, 2019

Practice Location

Address
6797 STEARNS ROAD
State
Ohio
ZIP Code
44138
Phone
(440) 235-2767

Authorized Official

Name
MARILINA WORKMAN
Title
DIRECTOR OF ICF
Phone
(216) 588-8777

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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