Organization
OHCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANAPHOUT SANAPHOL (LPN)
(216) 732-7533
Entity
Organization
Contact information
Practice address
26241 LAKE SHORE BLVD APT 2257, EUCLID, OH 44132-1149
(216) 732-7533
Mailing address
26241 LAKE SHORE BLVD APT 2257, EUCLID, OH 44132-1149
(216) 732-7533
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN 125076 IV
OH
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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