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Tenisha Glass
Adult Care Home Facility in Fairview Park, Ohio
NPI 1053776575

Tenisha Glass is an Adult Care Home Facility based in Fairview Park, OH and is specialized in Adult Care Home. Tenisha Glass practices in Fairview Park, OH. The NPI Number for Tenisha Glass is 1053776575 and holds a License No. 400078860202 (Ohio).

The current practice location address for Tenisha Glass is 20371 Lorain Rd Apt E5, Fairview Park, OH and can be reached out via phone at 216-551-1822.

Location: 20371 Lorain Rd Apt E5, Fairview Park, OH, 44126-3455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053776575
Provider Name
Tenisha Glass
Credential
Provider Entity Type
Organization
Address
20371 Lorain Rd Apt E5, Fairview Park, OH, 44126-3455
Phone Number
216-551-1822
Fax Number
Provider Enumeration Date
12/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3062939 05 OH
institution
Provider Business Practice Location Address Details
Address
20371 Lorain Rd Apt E5
City
Fairview Park
State
Ohio
Zip
44126-3455
Phone Number
216-551-1822
Fax Number
person
Provider Business Mailing Address Details
Address
20371 Lorain Rd Apt E5
City
Fairview Park
State
Ohio
Zip
44126-3455
Phone Number
216-551-1822
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
400078860202 (Ohio)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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