# EBONY DEGRAFFENRIED

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023433661
- **Authorized official:** EBONY DEGRAFFENRIED (LPN)
- **Authorized official phone:** (216) 534-9029

## Contact information

- **Practice address:** 5683 DUNHAM RD, MAPLE HEIGHTS, OH 44137-3647
- **Practice address phone:** (216) 534-9029
- **Mailing address:** 5683 DUNHAM RD, MAPLE HEIGHTS, OH 44137-3647
- **Mailing address phone:** (216) 534-9029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | PN.124715 | OH | Yes |

## Other

- **Enumeration date:** 02/19/2014
- **Last updated:** 02/19/2014