Provider Demographics
NPI:1699368159
Name:LAW, TELESCHIA
Entity Type:Individual
Prefix:
First Name:TELESCHIA
Middle Name:
Last Name:LAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9509 PARK HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2346
Mailing Address - Country:US
Mailing Address - Phone:216-703-6362
Mailing Address - Fax:
Practice Address - Street 1:9509 PARK HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2346
Practice Address - Country:US
Practice Address - Phone:216-703-6362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker