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Contact Information

CANDICE HAIRSTON
5408 OREY AVE
CLEVELAND, OH44105-3339
 Phone: 216-240-4690
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for

NPI # 1639891252
Entity Organization
Organization subpart 1 Not specified
Enumeration date 09/12/2022
Last updated 09/12/2022 - About 4 years ago
Identifiers
OH Other 86-3010133 STATE OF OHIO
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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