Provider Demographics
NPI:1760144984
Name:OHIO TRUE REALTY LLC
Entity Type:Organization
Organization Name:OHIO TRUE REALTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-703-3023
Mailing Address - Street 1:13402 LITTLETON RD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-5156
Mailing Address - Country:US
Mailing Address - Phone:216-703-3023
Mailing Address - Fax:216-674-9377
Practice Address - Street 1:13402 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-5156
Practice Address - Country:US
Practice Address - Phone:216-703-3023
Practice Address - Fax:216-674-9377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care