Individual
SHANETHIA MOSELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13201 GRANGER RD STE 8, CLEVELAND, OH 44125-1979
(216) 403-1861
Mailing address
433 COMMUNITY LN, PAINESVILLE, OH 44077-3000
(216) 403-1861
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159424
—
OH
Enumeration date
01/16/2023
Last updated
07/13/2024
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