Organization · Type 2 NPI
Tenisha Glass
Adult Care Home Facility · Fairview Park, OH
NPI number
1053776575
Active
Practice location
20371 Lorain Rd Apt E5
Fairview Park, OH 44126-3455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 400078860202 (OH) |
Adult Care Home Facility: 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.
About NPI 1053776575
Tenisha Glass's National Provider Identifier is 1053776575, issued on Dec 28, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Fairview Park, OH. The record was last updated on Dec 28, 2015.