Organization
TARIA THOMPSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIA THOMPSON (LPN)
(216) 266-1821
Entity
Organization
Contact information
Practice address
613 E 102ND ST, CLEVELAND, OH 44108-1326
(216) 266-1821
Mailing address
613 E 102ND ST, CLEVELAND, OH 44108-1326
(216) 266-1821
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
143952
OH
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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