# SHARESE WILLIAMS

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

## Provider details

- **NPI number:** 1104257302
- **Authorized official:** MS. SHARESE L WILLIAMS (STNA)
- **Authorized official phone:** (216) 798-0828

## Contact information

- **Practice address:** 11217 MELBA AVE, CLEVELAND, OH 44104-5026
- **Practice address phone:** (216) 798-0828
- **Mailing address:** 11217 MELBA AVE, CLEVELAND, OH 44104-5026
- **Mailing address phone:** (216) 798-0828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 376141640197 | OH | Yes |

## Other

- **Enumeration date:** 12/13/2013
- **Last updated:** 12/13/2013