Organization
ESCHERICA MEDLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESCHERICA TIONNA MEDLEY (CNA)
(404) 908-6040
Entity
Organization
Contact information
Practice address
19218 SHAKERWOOD RD, WARRENSVILLE HEIGHTS, OH 44122-6606
(404) 908-6040
Mailing address
19218 SHAKERWOOD RD, WARRENSVILLE HEIGHTS, OH 44122
(404) 908-6040
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
882062
GA
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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