MEDICARE: CUYAHOGA HEIGHTS SCHOOLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1053777961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUYAHOGA HEIGHTS SCHOOLS

Provider Business Mailing Address
First Line	:	4820 E 71ST ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44125-1043
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4820 E 71ST ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44125-1043
Country	:	US
Telephone Number	:	216-429-5746
Fax Number	:	440-884-0344

Authorized Official
Title or Position	:	SPECIAL EDUCATION SUPERVISOR
Name	:	WENDY JOVAN
Credential	:
Telephone Number	:	216-429-5746

Provider Enumeration Date	:	01/07/2016
Last Update Date	:	01/07/2016

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