IndividualActive
Donald Woodruff
NPI 1104527597 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bedford Hts, OH
Provider details
- NPI number
- 1104527597
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1848112 (OH)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 1828117 (OH)
Residential Treatment Facilities
Agencies
Practice location
5371 Holly Rd
Bedford Hts, OH 44146-1501
Phone: (216) 532-4811
Approximate (ZIP-level) locationGet directions
Mailing address
5371 Holly Rd
Bedford Hts, OH 44146-1501
Registry dates
- Enumerated
- 2023-03-13
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.