NPI | 1104039924 |
---|---|
Doing Business As | BAGLEY HOUSE |
Entity Type | Organization |
Authorized Contact | TERRENCE RYAN Superintendent 216-736-2625 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: OH 1812640) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-08-22 |