OrganizationActive
Koinonia Community Services LLC
NPI 1790939858 · Voluntary or Charitable Agency · Independence, OH
Provider details
- NPI number
- 1790939858
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Diane Beastrom, Ceo(216) 588-8777
Specialties & taxonomies
Agencies
Practice location
6161 Oak Tree Blvd
Suite #400
Independence, OH 44131-2516
Phone: (216) 588-8777
Fax: (216) 588-5670
Approximate (ZIP-level) locationGet directions
Mailing address
6161 Oak Tree Blvd
Independence, OH 44131-2516
Registry dates
- Enumerated
- 2008-11-15
- Last updated
- 2008-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.