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Organization

SHARESE WILLIAMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHARESE L WILLIAMS (STNA)
(216) 798-0828
Entity
Organization

Contact information

Practice address
11217 MELBA AVE, CLEVELAND, OH 44104-5026
(216) 798-0828
Mailing address
11217 MELBA AVE, CLEVELAND, OH 44104-5026
(216) 798-0828

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
376141640197
OH

Other

Enumeration date
12/13/2013
Last updated
12/13/2013
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