Organization
LOUIS STOKES VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE WILLIAMS (SOCIAL WORKER)
(216) 791-3800
Entity
Organization
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
104100000X
OH
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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