North Shore Residential Services

NPI #1982825915 in Berea, Ohio

Provider Information

NPI Number: 1982825915
Entity Type: Organization
Organization Name: North Shore Residential Services
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 7993 LEWIS RD
City: Berea
State: Ohio
ZIP Code: 44017-2918
Phone: (440) 427-9898

Authorized Official

Name: MR. SCOTT POFFENBERGER
Title: DIRECTOR
Phone: (440) 427-9898

Specialties & Taxonomy Codes

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

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