Organization
DOROTHEA BLAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHEA BLAIR (STNA)
(216) 224-6839
Entity
Organization
Contact information
Practice address
5163 THOMAS ST, MAPLE HEIGHTS, OH 44137-1429
(216) 224-6839
Mailing address
5163 THOMAS ST, MAPLE HEIGHTS, OH 44137-1429
(216) 224-6839
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
400401420804
OH
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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