Individual
SHANNON GLAGOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11401 GOVERNOR AVE, CLEVELAND, OH 44111-3675
(216) 512-4265
Mailing address
11401 GOVERNOR AVE, CLEVELAND, OH 44111-3675
(216) 512-4265
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1828571
OH
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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