Individual
GUSTENA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AIDE
Contact information
Practice address
575 E 102ND ST APT 1, CLEVELAND, OH 44108-1385
(216) 355-6291
Mailing address
575 E 102ND ST APT 1, CLEVELAND, OH 44108-1385
(216) 355-6291
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
137762
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137762
HOME HEALTH AIDE
OH
Enumeration date
01/28/2012
Last updated
01/28/2012
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