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Organization

DEPARTMENT OF VETERANS AFFAIRS

Active
Other names
no
Organization subpart
No

Provider details

NPI number
Authorized official
MISS CHRISTA ANN POOLE LISW-S (SOCIAL WORKER)
(216) 956-2129
Entity
Organization

Contact information

Practice address
23809 E SILSBY RD, BEACHWOOD, OH 44122-1271
(216) 291-9542
Mailing address
23809 E SILSBY RD, BEACHWOOD, OH 44122-1271
(216) 291-9542

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
I0700155
OH

Other

Enumeration date
10/23/2010
Last updated
10/23/2010
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