CHARLES MACK LEE

CLEVELAND, OH
NPI1629115779
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: OH  400327400204)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
-- CHARLES MACK LEE STNA
3919 E 147TH ST
CLEVELAND, OH 44128-1082
Phone number: 216-832-7732
Mailing Address
-- CHARLES MACK LEE STNA
PO BOX 19483
CLEVELAND, OH 44119-0483
Phone number: 216-832-7732
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