Individual ProviderAuthelia UpdegraffSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2770 Som Center Rd, #2, Willoughby, OH 44094-9111(440) 516-1350(216) 831-6611PECOS EnrollmentBased on the most recent information from CMS, provider Authelia Updegraff does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1851345987Provider TypeIndividualFull NameUpdegraff, AutheliaTitleMs.CredentialLISWGenderFemaleSole ProprietorNoEnumeration Date5/22/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2770 Som Center Rd, #2, Willoughby, OH 44094-9111Phone(440) 516-1350Fax(440) 944-7330Mailing LocationMailing Address24800 Highpoint Rd, Beachwood, OH 44122-6041Phone(216) 831-6611Fax(216) 831-2726Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI9530Ohio