Individual
MR. JOHN FRANCIS WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2153 NIAGARA DR, LAKEWOOD, OH 44107-5434
(216) 543-8221
Mailing address
2153 NIAGARA DR, LAKEWOOD, OH 44107-5434
(216) 543-8221
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070381
—
OH
Enumeration date
09/11/2020
Last updated
10/16/2020
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