Individual
LARONDA S KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30225 FORESTGROVE RD, WILLOWICK, OH 44095-4956
(216) 762-6017
Mailing address
30225 FORESTGROVE RD, WILLOWICK, OH 44095-4956
(216) 762-6017
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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