Organization
CASSONDRA HARRIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSONDRA HARRIS (LPN)
(216) 694-1163
Entity
Organization
Contact information
Practice address
17802 LAKE SHORE BLVD, APT 4, EUCLID, OH 44119-1232
(216) 694-1163
Mailing address
17802 LAKE SHORE BLVD, APT 4, EUCLID, OH 44119-1232
(216) 694-1163
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
PN.130298
OH
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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