Organization
PATIENT-CENTERED CARE STAFFING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKIRAH WILSON (ADMINISTRATOR)
(216) 855-3637
Entity
Organization
Contact information
Practice address
3725 HILDANA RD, SHAKER HEIGHTS, OH 44120-5005
(216) 937-5211
Mailing address
3725 HILDANA RD, SHAKER HEIGHTS, OH 44120-5005
(216) 937-5211
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002374
—
OH
Enumeration date
01/06/2023
Last updated
01/06/2023
Update your record
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