Individual
JEANETTA MARIE BURRAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1847 WADENA ST, EAST CLEVELAND, OH 44112-4715
(216) 298-3507
Mailing address
287 HENRY AARON AVE SW, ATLANTA, GA 30310-1018
(216) 298-3507
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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