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Organization

EBONY DEGRAFFENRIED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EBONY DEGRAFFENRIED (LPN)
(216) 534-9029
Entity
Organization

Contact information

Practice address
5683 DUNHAM RD, MAPLE HEIGHTS, OH 44137-3647
(216) 534-9029
Mailing address
5683 DUNHAM RD, MAPLE HEIGHTS, OH 44137-3647
(216) 534-9029

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
PN.124715
OH

Other

Enumeration date
02/19/2014
Last updated
02/19/2014
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