Individual
MRS. ANTOINETTE PETERKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5270 WILSON MILLS RD, RICHMOND HEIGHTS, OH 44143-3017
(216) 820-0515
Mailing address
5270 WILSON MILLS RD, RICHMOND HEIGHTS, OH 44143-3017
(216) 820-0515
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/11/2021
Last updated
04/13/2021
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