Individual
MRS. LORNA C WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2259 MOUNT VERNON BLVD, EAST CLEVELAND, OH 44112-3661
(216) 415-1587
Mailing address
2259 MOUNT VERNON BLVD, EAST CLEVELAND, OH 44112-3661
(216) 415-1587
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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