Healthcare Provider Details

I. General information

NPI: 1902047525
Provider Name (Legal Business Name): CUYAHOGA HEIGHTS SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2009
Last Update Date: 03/11/2009
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: 216-429-5800
  • Fax: 216-429-5804
Mailing address:
  • Phone: 216-429-5800
  • Fax: 216-429-5804

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: MR. MICHAEL A. ROCK
Title or Position: CFO/TREASURER
Credential: CPA
Phone: 216-429-5752