Individual
SHONTAE S BENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9697 BROOKPARK RD, PARMA, OH 44129-6811
(440) 625-6300
(440) 625-6301
Mailing address
13212 TERMINAL AVE, CLEVELAND, OH 44135-4814
(440) 625-6300
(440) 625-6301
Taxonomy
Speciality
Code
Description
License number
State
246YR1600X
Registered Record Administrator
—
OH
251E00000X
Home Health Agency
3826HHN
OH
261QA0600X
Adult Day Care Clinic/Center
Primary
—
OH
Other
Enumeration date
06/08/2022
Last updated
12/02/2025
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