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Organization
MONIQUE
Active
Organization
MONIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE RENEE TERRY (INDEPENDENT PROVIDER)
(216) 339-4010
Entity
Organization
Contact information
Practice address
1145 E 168TH ST, CLEVELAND, OH 44110-1557
(216) 399-4010
Mailing address
1145 E 168TH ST, CLEVELAND, OH 44110-1557
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
501053061205
OH
Other
Enumeration date
07/05/2010
Last updated
07/05/2010
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