| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TIERRA WARD | 1316675556 | 2022-08-14 |
Tierra Ward is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316675556. Registration indicates Tierra Ward is a provider of services with a specialization in Nursing & Custodial Care Facilities, Custodial Care Facility (Custodial Care Facility: Adult Care Home, ) (Custodial Care Facility Adult Care Home, Nursing & Custodial Care Facilities) (Custodial Care Facility, )
| Entity Type | Individual |
| Provider Name | Tierra Ward |
| Practice Office Address | 3480 W 118TH ST CLEVELAND, OH US |
| Practice Office Telephone | 4406873004 |
| Mailing Address | 3480 W 118TH ST CLEVELAND, OH 441113526 US |
| Business Telephone | 4406873004 |
| Code | Practice | License No State |
|---|---|---|
| 311ZA0620X PRIMARY | Nursing & Custodial Care Facilities Custodial Care Facility Custodial Care Facility: Adult Care Home Custodial Care Facility Adult Care Home Nursing & Custodial Care Facilities Custodial Care Facility |