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Organization
LATERA LAW-HORTON
Active
Organization
LATERA LAW-HORTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATERA DAVINDA LAW-HORTON (LICENSED PRACTICAL NURSE)
(216) 965-4554
Entity
Organization
Contact information
Practice address
12601 GRIFFING AVE, DOWN, CLEVELAND, OH 44120-3043
(216) 965-4554
Mailing address
12601 GRIFFING AVE, DOWN, CLEVELAND, OH 44120-3043
(216) 965-4554
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
PN.148985-M-IV
OH
311ZA0620X
Adult Care Home Facility
Primary
PN.148985-M-IV
OH
314000000X
Skilled Nursing Facility
PN.148985-M-IV
OH
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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