DEONTAE J HENDERSON

CLEVELAND, OH
NPI1548805138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2019-11-07
Last Update Date2020-03-06
Business Address
DEONTAE J HENDERSON QMHS BA CMS BA
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-260-8300
Mailing Address
DEONTAE J HENDERSON QMHS BA CMS BA
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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