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NPI Code Detail

MEDICARE: UNITY AGENCY FOR DEVELOPMENTAL DISABILILE

MEDICARE: UNITY AGENCY FOR DEVELOPMENTAL DISABILILE
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1780022962
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITY AGENCY FOR DEVELOPMENTAL DISABILILE
Provider Business Mailing Address
First Line : 3593 E 59TH ST
Second Line : DOWN
City : CLEVELAND
State : OH
Zip : 44105-1249
Country : US
Telephone Number : 614-715-1764
Fax Number :
Provider Business Practice Location Address
First Line : 3593 E 59TH ST
Second Line : DOWN
City : CLEVELAND
State : OH
Zip : 44105-1249
Country : US
Telephone Number : 614-715-1764
Fax Number :
Authorized Official
Title or Position : CEO LPN
Name : VANASHIA LASHAY CONNER
Credential : LPN
Telephone Number : 614-715-1764
Provider Enumeration Date : 06/10/2013
Last Update Date : 06/10/2013

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Directions to “UNITY AGENCY FOR DEVELOPMENTAL DISABILILE ” Practice Location

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