Organization
LAKEFRONT NURSING MEDICAL STAFFING AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA KNOWLES (DIRECTOR OF OPERATIONS)
(440) 703-0710
Entity
Organization
Contact information
Practice address
26300 SEVILLE DR APT 101, BEACHWOOD, OH 44122-7595
(440) 703-0710
Mailing address
26300 SEVILLE DR APT 101, BEACHWOOD, OH 44122-7595
(440) 703-0710
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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