Beach Club Residential Living INC

NPI #1740404870 in Geneva, Ohio

Provider Information

NPI Number: 1740404870
Entity Type: Organization
Organization Name: Beach Club Residential Living INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5254 LAKE RD E
Address 2: SUITE #3
City: Geneva
State: Ohio
ZIP Code: 44041-9490
Phone: (440) 466-0988

Authorized Official

Name: MRS. LUANN KAY BUSCH
Title: OWNER
Phone: (440) 466-0988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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