NPI 1023433661

Ebony Degraffenried

Organisation Adult Care Home Facility Maple Heights, OH

Practice location

Address: 5683 Dunham Rd, Maple Heights, OH 44137-3647
Phone: (216) 534-9029

Authorised official

Name: Ebony Degraffenried
Title: Lpn
Phone: (216) 534-9029

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence PN.124715 (OH)

Other Custodial Care Facility providers in Ohio →

Registry record

NPI: 1023433661
Entity type: Organization
NPI issued: 19 Feb 2014
Record last updated: 19 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.