Most Relevant Information
Provider Data
| NPI Number: | 1003306283 |
| Provider Name: | MICHELLE DASHAM GRAHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/14/2018 |
| Last Updated: | 05/14/2018 |
Provider Practice Location
17303 DEFOREST AVE
CLEVELAND
OH
441282517
Practice Location Phone/Fax
| Phone: | 2162568946 |
| Fax: |
Provider Mailing Location
17303 DEFOREST AVE
CLEVELAND
OH
441282517
Provider Mailing Phone/Fax
| Phone: | 2162568946 |
| Fax: |