| Hispanic Umadoap | |
|
2202 Prame Ave Cleveland OH 44109-1626 | |
| (216) 459-1222 | |
| (216) 472-3599 |
| Full Name | Hispanic Umadoap |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2202 Prame Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Beatrice Shepherd (RESIDENTIAL ADVOCATE/FACILITATOR) |
| Authorized Official Contact | 2164591222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hispanic Umadoap 2202 Prame Ave Cleveland OH 44109-1626 Ph: (216) 459-1222 | Hispanic Umadoap 2202 Prame Ave Cleveland OH 44109-1626 Ph: (216) 459-1222 |
| NPI Number | 1245689041 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 06/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245689041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 130543 (Ohio) | Primary |
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