Organization
HOUSECALLS OF THE FALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE DIANA GROSH NP (NURSE PRACTITIONER)
(440) 281-6657
Entity
Organization
Contact information
Practice address
15526 HILLIARD RD, LAKEWOOD, OH 44107-3813
(440) 281-6657
Mailing address
PO BOX 770362, LAKEWOOD, OH 44107-0022
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
COA.17027-NP
OH
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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