Organization
CHARLOTTE PHILLIPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE D PHILLIPS (RN)
(216) 450-0598
Entity
Organization
Contact information
Practice address
631 LEE RD, APT 1210, BEDFORD, OH 44146-3496
(216) 450-0598
Mailing address
631 LEE RD, APT 1210, BEDFORD, OH 44146-3496
(216) 450-0598
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
RN352736
OH
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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