Organization
MELISSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SHANTELL SCOTT (LPN)
(216) 536-6605
Entity
Organization
Contact information
Practice address
13501 LAKEWOOD HEIGHTS BLVD APT 5, LAKEWOOD, OH 44107-6157
(216) 536-6605
Mailing address
13501 LAKEWOOD HEIGHTS BLVD APT 5, LAKEWOOD, OH 44107-6157
(216) 536-6605
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
155296
OH
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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