Individual
DEZ'ARAY KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36260 LAKE SHORE BLVD APT 324, EASTLAKE, OH 44095-1448
(216) 403-4276
Mailing address
36260 LAKE SHORE BLVD APT 324, EASTLAKE, OH 44095-1448
(216) 403-4276
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/20/2015
Last updated
04/22/2026
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