Tenisha Glass
NPI #1053776575 in Fairview Park, Ohio
Provider Information
- NPI Number
- 1053776575
- Entity Type
- Organization
- Organization Name
- Tenisha Glass
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Dec 28, 2015
- Last Updated
- Dec 28, 2015
Practice Location
- Address
- 20371 LORAIN RD APT E5
- City
- Fairview Park
- State
- Ohio
- ZIP Code
- 44126-3455
- Phone
- (216) 551-1822
Authorized Official
- Name
- TENISHA GLASS
- Title
- SOLE
- Phone
- (216) 551-1822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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