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General NPI Number Information
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NPI Number | 1215759253
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Entity Type | Organization
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Legal Business Name | INCYOU RESOURCE FOUNDATION INC.
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 616 EAST 185TH STREET
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City | CLEVELAND
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State | OH
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Zip | 44119
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Country | US
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Telephone | 440-373-4116
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Fax |
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Provider Business Mailing Address
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Address Line | 616 EAST 185TH STREET
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City | CLEVELAND
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State | OH
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Zip | 44119
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Country | US
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Telephone | 440-373-4116
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MONICA LYNNE GRAYS
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Credential |
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Telephone | 216-548-6015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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