Andre' D Smith, BS
Case Manager/Care Coordinator in Cleveland, OH. Individual provider (NPI-1).
NPI number1982249140
StatusActive
Last updated in NPPESMar 28, 2022
Details
- NPI
- 1982249140
- Entity type
- Individual (NPI-1)
- Name
- Andre' D Smith
- Credential
- BS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2019
- Certification date
- Mar 28, 2022
- Last updated
- Mar 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
13110 Shaker Sq Ste C200Cleveland, OH 44120-2373
Phone 330-770-3393 · Fax 216-370-3192
Mailing address
5917 Secor RdToledo, OH 43623-1423
Phone 330-770-3393
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