Amanda L. Basile
Case Manager/Care Coordinator in Willoughby, OH. Individual provider (NPI-1).
NPI number1164064473
StatusActive
Last updated in NPPESOct 9, 2019
Details
- NPI
- 1164064473
- Entity type
- Individual (NPI-1)
- Name
- Amanda L. Basile
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2019
- Last updated
- Oct 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
38882 Mentor AveWilloughby, OH 44094-7875
Phone 440-578-8200 · Fax 440-534-1985
Mailing address
38882 Mentor AveWilloughby, OH 44094-7875
Phone 440-578-8200 · Fax 440-534-1985
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