ANNETTE JOHNSON-RUCKER
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Individual
NPI: 1558075242
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | Yes | - |
Frequently Asked Questions
NPI 1558075242 is the National Provider Identifier for ANNETTE JOHNSON-RUCKER, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Cleveland, OH. This NPI was enumerated on January 9, 2023.
ANNETTE JOHNSON-RUCKER practices at 3294 E 104TH ST, Cleveland, OH 44104.
Quick Facts
- NPI
- 1558075242
- Type
- Individual
- Enumerated
- Jan 9, 2023
- Last Updated
- Jan 9, 2023
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