Individual
LATESHIA MARIE LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21008 WATSON RD, MAPLE HEIGHTS, OH 44137-2040
(216) 553-8428
Mailing address
21008 WATSON RD, MAPLE HEIGHTS, OH 44137-2040
(216) 553-8428
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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