Deaja L Wade
Case Manager/Care Coordinator in Cleveland, OH. Individual provider (NPI-1).
NPI number1194587741
StatusActive
Last updated in NPPESJan 29, 2024
Details
- NPI
- 1194587741
- Entity type
- Individual (NPI-1)
- Name
- Deaja L Wade
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2024
- Certification date
- Jan 29, 2024
- Last updated
- Jan 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
11201 Shaker Blvd Ste 308Cleveland, OH 44104-3871
Phone 216-417-8813
Mailing address
32004 N Marginal Dr Apt 333Willowick, OH 44095-4468
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