| NPI | 1336353432 |
|---|---|
| Doing Business As | MONTICELLO HOUSE |
| Entity Type | Organization |
| Authorized Contact | TERRENCE RYAN Superintendent 216-736-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OH 1813827) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |