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Organization
TARIA WHITE
Active
Organization
TARIA WHITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIA L WHITE (STNA)
(216) 217-3046
Entity
Organization
Contact information
Practice address
15400 MAPLE PARK DR, APT 22, MAPLE HEIGHTS, OH 44137-4294
(216) 217-3046
Mailing address
15400 MAPLE PARK DR, APT 22, MAPLE HEIGHTS, OH 44137-4294
(216) 217-3046
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
400211320203
OH
311ZA0620X
Adult Care Home Facility
Primary
: 400211320203
OH
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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