| NPI | 1689086712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A BROWN State Tested Nurse Aide 216-256-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: OH 400645350707) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-05-23 |