Laniece Rene Benson
Custodial Care Facility in Cleveland, OH. Individual provider (NPI-1).
NPI number1316799141
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1316799141
- Entity type
- Individual (NPI-1)
- Name
- Laniece Rene Benson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2024
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311Z00000X | Custodial Care Facility | 1988HHN | OH | Yes |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 1988hhn | OH |
Practice location
2150 W 117th StCleveland, OH 44111-1641
Phone 567-588-0007
Mailing address
2150 W 117th StCleveland, OH 44111-1641
Phone 567-588-0007
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