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Contact Information

DORCAS C SHANNON
5592 SOUTH BLVD
MAPLE HEIGHTS, OH44137
 Phone: 216-571-6302
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
 

Driver

172A00000X
 

Meals

174200000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1477381440
Entity Organization
Organization subpart 1 Not specified
Enumeration date 07/22/2024
Last updated 07/22/2024 - More than a year ago
Identifiers n/a
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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