Healthcare Provider Details

I. General information

NPI: 1629387956
Provider Name (Legal Business Name): NORAH'S ADULT DAYCARE & TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2010
Last Update Date: 10/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 FAIRHILL RD
CLEVELAND OH
44120-1058
US

IV. Provider business mailing address

1728 AVALON RD
CLEVELAND OH
44112-1005
US

V. Phone/Fax

Practice location:
  • Phone: 440-465-5140
  • Fax:
Mailing address:
  • Phone: 440-465-5140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. HENRIETTA BYERS
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 440-465-5140