Healthcare Provider Details

I. General information

NPI: 1053777961
Provider Name (Legal Business Name): CUYAHOGA HEIGHTS SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2016
Last Update Date: 01/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4820 E 71ST ST
CLEVELAND OH
44125-1043
US

IV. Provider business mailing address

4820 E 71ST ST
CLEVELAND OH
44125-1043
US

V. Phone/Fax

Practice location:
  • Phone: 216-429-5746
  • Fax: 440-884-0344
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: WENDY JOVAN
Title or Position: SPECIAL EDUCATION SUPERVISOR
Credential:
Phone: 216-429-5746