Organization
ELGINIA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELGINIA PHILLIPS LPN (PRESIDENT OWNER)
(216) 496-6253
Entity
Organization
Contact information
Practice address
1884 WYMORE, EAST CLEVELAND, OH 44112
(216) 496-6253
Mailing address
1884 WYMORE, EAST CLEVELAND, OH 44112
(216) 496-6253
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
091062
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2209318
—
OH
Enumeration date
10/26/2006
Last updated
08/22/2020
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