IndividualActive
Carol Sanders
NPI 1083339436 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Westlake, OH
Provider details
- NPI number
- 1083339436
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
23494 Concord Dr
Westlake, OH 44145-2718
Phone: (216) 272-1629
Approximate (ZIP-level) locationGet directions
Mailing address
23494 Concord Dr
Westlake, OH 44145-2718
Registry dates
- Enumerated
- 2022-10-07
- Last updated
- 2022-10-07
- Certified
- 2022-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.