Individual
KAREN FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 781-0550
Mailing address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 781-0550
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
PN043755-M-1V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340896181
—
OH
Enumeration date
05/12/2016
Last updated
05/12/2016
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