NPI | 1366128100 |
---|---|
Doing Business As | MARYMAC CHILD DEVELOPMENT |
Entity Type | Organization |
Authorized Contact | MONIQUE DECLUETT Lpn 216-296-1240 |
Organization Subpart ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse |
Enumeration Date | 2023-06-26 |
Last Update Date | 2023-06-26 |