Individual
RONELL MURRAY-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 GRAND BLVD, BEDFORD, OH 44146-2117
(216) 385-1648
Mailing address
115 GRAND BLVD, BEDFORD, OH 44146-2117
(216) 385-1648
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235265
—
OH
Enumeration date
12/18/2020
Last updated
12/18/2020
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