| Monarch Lifeworks - Viridis | |
|
2675 Green Rd Shaker Heights OH 44122-2135 | |
| (216) 765-0601 | |
| (216) 765-0611 |
| Full Name | Monarch Lifeworks - Viridis |
|---|---|
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
| Location | 2675 Green Rd, Shaker Heights, Ohio |
| Authorized Official Name and Position | Leigh Johnson (GENERAL COUNSEL) |
| Authorized Official Contact | 2163208222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch Lifeworks - Viridis 2675 Green Rd Shaker Heights OH 44122-2135 Ph: (216) 765-0601 | Monarch Lifeworks - Viridis 2675 Green Rd Shaker Heights OH 44122-2135 Ph: (216) 765-0601 |
| NPI Number | 1366988800 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 06/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366988800 | NPI | - | NPPES |
| 0078929 | Medicaid | OH | |
| 1815782 | Other | OH | OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES FACILITY NUMBER |
| 32471 | Other | OH | OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES CERTIFICATE NUMBER |
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