# CHARLOTTE PHILLIPS

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

## Provider details

- **NPI number:** 1982025433
- **Authorized official:** CHARLOTTE D PHILLIPS (RN)
- **Authorized official phone:** (216) 450-0598

## Contact information

- **Practice address:** 631 LEE RD, APT 1210, BEDFORD, OH 44146-3496
- **Practice address phone:** (216) 450-0598
- **Mailing address:** 631 LEE RD, APT 1210, BEDFORD, OH 44146-3496
- **Mailing address phone:** (216) 450-0598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | RN352736 | OH | Yes |

## Other

- **Enumeration date:** 12/31/2013
- **Last updated:** 12/31/2013