Organization
TOMORA L. BLUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TOMORA LETITIA BLUE (STNA)
(216) 200-2494
Entity
Organization
Contact information
Practice address
12601 GRIFFING AVE, DOWN, CLEVELAND, OH 44120-3043
(216) 200-2494
Mailing address
12601 GRIFFING AVE, DOWN, CLEVELAND, OH 44120-3043
(216) 200-2494
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
401594961213
OH
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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