Individual provider · Type 1 NPI
Cerisse Tucker, PTA
Pediatric Skilled Nursing Facility · Maple Heights, OH
NPI number
1043602998
Active
Practice location
15604 Steinway Blvd
Maple Heights, OH 44137-4629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital | 282N00000X | 09429 (OH) |
| Health Maintenance Organization | 302R00000X | 09429 (OH) |
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 09429 (OH) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1043602998
Cerisse Tucker, PTA's National Provider Identifier is 1043602998, issued on Mar 2, 2015. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Maple Heights, OH. The record was last updated on Mar 2, 2015.