Tomora L. Blue

NPI 1295166494 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1295166494
Enumeration Date 12/13/2013
Last Updated 12/13/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TOMORA LETITIA TOMORA
Position STNA
Phone (216) 200-2494
Fax
Practice Location
12601 GRIFFING AVE
DOWN
CLEVELAND OH, 44120-3043, US
Phone (216) 200-2494
Fax
Business Location
12601 GRIFFING AVE
DOWN
CLEVELAND OH, 44120-3043, US
Phone (216) 200-2494
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State Ohio
License Number 401594961213
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According to our database, Tomora L. Blue NPI is 1295166494, taxonomy code is 311ZA0620X and license number is 401594961213, license state is located at Ohio. Tomora L. Blue physically located at 12601 Griffing Ave, Cleveland OH, 44120-3043. NPI Number 1033115704 has the healthcare provider type.

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1295166494 NPI number is provided on an as is basis without warranty of any kind. 1295166494 is maintained by the National Plan & Provider Enumeration System. The contents of Tomora L. Blue are for informational purposes only.