Individual
KALPANA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4841 WESTMINSTER LN, BROADVIEW HEIGHTS, OH 44147-2067
(440) 526-1088
Mailing address
4841 WESTMINSTER LN, BROADVIEW HEIGHTS, OH 44147-2067
(440) 526-1088
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
347C00000X
Private Vehicle
—
OH
3747P1801X
Personal Care Attendant
—
OH
376J00000X
Homemaker
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC392380
DRIVER LICENCE
OH
Enumeration date
09/12/2020
Last updated
09/12/2020
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