MEDICARE: ROSA DABNEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care

General Provider Information

NPI Number	:	1982219564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA DABNEY

Provider Business Mailing Address
First Line	:	1929 TORBENSON DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1325
Country	:	US
Telephone Number	:	216-481-4094
Fax Number	:

Provider Business Practice Location Address
First Line	:	1929 TORBENSON DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1325
Country	:	US
Telephone Number	:	216-481-4094
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2020
Last Update Date	:	09/10/2020

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Directions to “ ROSA DABNEY ” Practice Location

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