Provider Profile Claim

Claim Provider Profile

NA

Cleveland, OH Unclaimed

Submit your NPI number to verify and claim this organization. We’ll confirm your details and send account setup instructions.

NPI Number *

Email *

We’ll use this to send verification and account setup details.

Organization / Practice Name *

Contact First Name *

Contact Last Name *

Business Phone

Street Address

Address 2 / Suite

City

State

ZIP Code

Primary Specialty

License Number

NPI

1750712956
Name

NA
Account Contact

Tashia Fowlkes
Address

7629 MARYLAND AVE, CLEVELAND, OH, 44105-5927
Phone

216-213-8084
Specialties

Alzheimer Center (dementia Center) Custodial Care Facility, Adult Care Home
NPPES Last Updated

2013-12-12

Claiming will create a provider account and send a welcome email with login instructions.