MEDICARE: JADE SOREMEKUN

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	311ZA0620X	Adult Care Home Facility	388229	OH

General Provider Information

NPI Number	:	1891125225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JADE SOREMEKUN

Provider Business Mailing Address
First Line	:	893 BEVERLY RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44121-2003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	893 BEVERLY RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44121-2003
Country	:	US
Telephone Number	:	216-551-6260
Fax Number	:

Authorized Official
Title or Position	:	RN
Name	:	JADE SOREMEKUN
Credential	:
Telephone Number	:	216-551-6260

Provider Enumeration Date	:	11/21/2013
Last Update Date	:	11/21/2013

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Directions to “JADE SOREMEKUN ” Practice Location

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