Koinonia Community Services LLC
NPI #1770126161 in Independence, Ohio
Provider Information
- NPI Number
- 1770126161
- 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 18, 2019
- Last Updated
- Oct 18, 2019
Practice Location
- Address
- 4711 E SPRAGUE RD
- City
- Independence
- State
- Ohio
- ZIP Code
- 44131-6227
- Phone
- (440) 526-9462
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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