Individual provider · Type 1 NPI

Gloria Jean Liddell

Adult Care Home Facility · Cleveland, OH

NPI number 1073280178 Active

Practice location

3529 E. 118th Street, Same
Cleveland, OH 44105

Call (216) 752-3188 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

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.

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About NPI 1073280178

Gloria Jean Liddell's National Provider Identifier is 1073280178, issued on Aug 26, 2021. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Cleveland, OH. The record was last updated on Aug 26, 2021.