IndividualActive
Deontay Lynch
NPI 1215736814 · Child Intellectual and/or Developmental Disabilities Respite Care · Shaker Heights, OH
Provider details
- NPI number
- 1215736814
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respite Care Facility
Practice location
3612 Menlo Rd
Shaker Heights, OH 44120-5053
Phone: (216) 762-6611
Approximate (ZIP-level) locationGet directions
Mailing address
3612 Menlo Rd
Shaker Heights, OH 44120-5053
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.