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NPI Code Detail

MEDICARE: CONSTELLATION SCHOOLS: OLD BROOKL;YN COMMUNITY ELEMENTARY

MEDICARE: CONSTELLATION SCHOOLS: OLD BROOKL;YN COMMUNITY ELEMENTARY
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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1447544184
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONSTELLATION SCHOOLS: OLD BROOKL;YN COMMUNITY ELEMENTARY
Provider Business Mailing Address
First Line : 5730 BROADVIEW RD
Second Line :
City : PARMA
State : OH
Zip : 44134-1602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4430 STATE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-4705
Country : US
Telephone Number : 216-661-7888
Fax Number :
Authorized Official
Title or Position : TREASURER/CFO
Name : MR. THOMAS F BABB
Credential : CPA
Telephone Number : 216-712-7600
Provider Enumeration Date : 05/29/2011
Last Update Date : 05/29/2011

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Directions to “CONSTELLATION SCHOOLS: OLD BROOKL;YN COMMUNITY ELEMENTARY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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