NPI 1295166494

Tomora L. Blue

Organisation Adult Care Home Facility Cleveland, OH

Practice location

Address: 12601 Griffing Ave Down, Cleveland, OH 44120-3043
Phone: (216) 200-2494

Authorised official

Name: Tomora Letitia Blue
Title: Stna
Phone: (216) 200-2494

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 401594961213 (OH)

Other Custodial Care Facility providers in Ohio →

Registry record

NPI: 1295166494
Entity type: Organization
NPI issued: 13 Dec 2013
Record last updated: 13 Dec 2013

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.