Organization · NPI-2

Courtney Speed

Nursing Care · Cleveland, OH

NPI number1669892196
StatusActive
Last updated in NPPESApr 23, 2014

Details

NPI
1669892196
Entity type
Organization (NPI-2)
Legal business name
Courtney Speed
Organization subpart
No
Enumeration date
Apr 23, 2014
Last updated
Apr 23, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251J00000X Nursing Care150548OHYes

Practice location

19101 Shawnee Ave
Cleveland, OH 44119-2715

Phone 216-970-4870

Mailing address

19101 Shawnee Ave.
Cleveland, OH 44119

Phone 216-970-4870

Authorized official

Courtney Lynne Speed
Licensed Practical Nurse
2169704870

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