SearchOhioIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Cheryl Bastulli

NPI 1902402795 · on the registry since 2020 · sole proprietor

Practice

Address
1135 E 346th St
Eastlake, OH 44095
Phone
(440) 669-0640

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Also registered as
Driver
Adult Day Care Clinic/Center
Non-emergency Medical Transport (VAN)
Private Vehicle
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio