IndividualActive
Annette Johnson-Rucker
NPI 1558075242 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Cleveland, OH
Provider details
- NPI number
- 1558075242
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
1037 East Blvd
Cleveland, OH 44108-2972
Registry dates
- Enumerated
- 2023-01-09
- Last updated
- 2023-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.