Organization
PATIENT-CENTERED CARE STAFFING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKIRAH WILSON BSN, RN (FOUNDER/OWNER)
(216) 937-5211
Entity
Organization
Contact information
Practice address
3725 HILDANA RD, SHAKER HEIGHTS, OH 44120-5005
(216) 937-5211
Mailing address
1284 SOM CENTER RD # 366, MAYFIELD HEIGHTS, OH 44124-2048
(216) 937-5211
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/20/2021
Last updated
01/12/2023
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