Individual
MRS. MARCHELLE D SHAW-DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11865 KITTRUN CT, CINCINNATI, OH 45231-1183
(216) 269-2765
Mailing address
11865 KITTRUN CT, CINCINNATI, OH 45231-1183
(216) 269-2765
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
03-78741
OH
311ZA0620X
Adult Care Home Facility
Primary
03-78741
OH
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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