# TOMORA L. BLUE

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

## Provider details

- **NPI number:** 1295166494
- **Authorized official:** MISS TOMORA LETITIA BLUE (STNA)
- **Authorized official phone:** (216) 200-2494

## Contact information

- **Practice address:** 12601 GRIFFING AVE, DOWN, CLEVELAND, OH 44120-3043
- **Practice address phone:** (216) 200-2494
- **Mailing address:** 12601 GRIFFING AVE, DOWN, CLEVELAND, OH 44120-3043
- **Mailing address phone:** (216) 200-2494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 401594961213 | OH | Yes |

## Other

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