Organization
EXCEPTIONAL NURSING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALINA SMITH D.O, LPN (OWNER/PROVIDER)
(216) 352-3781
Entity
Organization
Contact information
Practice address
9701 LORAIN AVE, CLEVELAND, OH 44102-4753
(216) 352-3781
(216) 920-9973
Mailing address
PO BOX 1873, MEDINA, OH 44258-1873
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
11/04/2017
Last updated
11/25/2021
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