Provider Demographics
NPI:1467874644
Name:JAKIRA CURRY
Entity Type:Organization
Organization Name:JAKIRA CURRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STNA
Authorized Official - Prefix:
Authorized Official - First Name:JAKIRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-401-2737
Mailing Address - Street 1:22709 LAKE SHORE BLVD
Mailing Address - Street 2:APT 355
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1359
Mailing Address - Country:US
Mailing Address - Phone:216-401-2737
Mailing Address - Fax:
Practice Address - Street 1:22709 LAKE SHORE BLVD
Practice Address - Street 2:APT 355
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1359
Practice Address - Country:US
Practice Address - Phone:216-401-2737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400967410809311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home