Healthcare Provider Details

I. General information

NPI: 1740740547
Provider Name (Legal Business Name): RONALD MCDONALD HOUSE OF CLEVELAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 03/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10415 EUCLID AVE
CLEVELAND OH
44106-4709
US

IV. Provider business mailing address

10415 EUCLID AVE
CLEVELAND OH
44106-4709
US

V. Phone/Fax

Practice location:
  • Phone: 216-229-5757
  • Fax: 216-229-0556
Mailing address:
  • Phone: 216-229-5757
  • Fax: 216-229-0556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. CRAIG WILSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 216-229-5757