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Organization

UNITY KEMETIC AGENCY FO DEVELOPMENTALLY DISABLED LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ERICA MONIQUE CONNER (CEO)
(216) 952-6795
Entity
Organization

Contact information

Practice address
15705 VAN AKEN BLVD, SUITE 3, SHAKER HEIGHTS, OH 44120-6106
(216) 952-6795
Mailing address
15705 VAN AKEN BLVD, SUITE 3, SHAKER HEIGHTS, OH 44120-6106
(216) 952-6795

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary

Other

Enumeration date
10/01/2015
Last updated
12/10/2020
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