Most Relevant Information
Provider Data
| NPI Number: | 1003672288 |
| Provider Name: | DERRICK SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/26/2024 |
| Last Updated: | 02/26/2024 |
Provider Practice Location
2114 NOBLE RD
CLEVELAND
OH
441121725
Practice Location Phone/Fax
| Phone: | 2162682400 |
| Fax: |
Provider Mailing Location
2114 NOBLE RD
CLEVELAND
OH
441121725
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |