OrganizationActive
Cooper Legacy Homes LLC
NPI 1679413132 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Cleveland, OH
Provider details
- NPI number
- 1679413132
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Dashae Cooper, Owner
Mailing address
5243 Broadway Ave
Cleveland, OH 44127-1504
Registry dates
- Enumerated
- 2026-04-01
- Last updated
- 2026-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.