Most Relevant Information
Provider Data
| NPI Number: | 1003308701 |
| Provider Name: | ALBERT GREEN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/30/2018 |
| Last Updated: | 05/30/2018 |
Provider Practice Location
8411 BROADWAY AVE
CLEVELAND
OH
441053932
Practice Location Phone/Fax
| Phone: | 2164410200 |
| Fax: | 2164413637 |
Provider Mailing Location
8411 BROADWAY AVE
CLEVELAND
OH
441053932
Provider Mailing Phone/Fax
| Phone: | 2164410200 |
| Fax: | 2164413637 |