Organization
ANTONIO BOYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO D BOYD (STNA)
(216) 239-9968
Entity
Organization
Contact information
Practice address
6200 LEE RD S, APT 207, MAPLE HEIGHTS, OH 44137-4539
(216) 239-9968
Mailing address
6200 LEE RD S, APT 207, MAPLE HEIGHTS, OH 44137-4539
(216) 239-9968
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
400412651004
OH
311ZA0620X
Adult Care Home Facility
Primary
400412651004
OH
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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