Lakefront Nursing Medical Staffing Agency LLC
Home Infusion in Beachwood, OH. Organization (NPI-2).
NPI number1013545490
StatusActive
Last updated in NPPESMar 31, 2020
Details
- NPI
- 1013545490
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakefront Nursing Medical Staffing Agency LLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2020
- Certification date
- Mar 31, 2020
- Last updated
- Mar 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251F00000X | Home Infusion | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 164W00000X | Licensed Practical Nurse | – | – | |
| 163W00000X | Registered Nurse | – | – |
Practice location
26300 Seville Dr Apt 101Beachwood, OH 44122-7595
Phone 440-703-0710
Mailing address
26300 Seville Dr Apt 101Beachwood, OH 44122-7595
Phone 440-703-0710
Authorized official
Latasha Knowles
Director Of Operations
4407030710
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