Organization
JESSICA RIOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RIOS (MEDICAID PROVIDER)
(618) 767-1216
Entity
Organization
Contact information
Practice address
3059 W 44TH ST, CLEVELAND, OH 44113-4817
(618) 767-1216
Mailing address
3059 W 44TH ST, CLEVELAND, OH 44113-4817
(618) 767-1216
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149266
—
OH
Enumeration date
02/16/2016
Last updated
02/16/2016
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