NPI 1053776575

Tenisha Glass

Organisation Adult Care Home Facility Fairview Park, OH

Practice location

Address: 20371 Lorain Rd APT E5, Fairview Park, OH 44126-3455
Phone: (216) 551-1822

Authorised official

Name: Tenisha Glass
Title: Sole
Phone: (216) 551-1822

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 400078860202 (OH)

Other Custodial Care Facility providers in Ohio →

Registry record

NPI: 1053776575
Entity type: Organization
NPI issued: 28 Dec 2015
Record last updated: 28 Dec 2015

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.