Individual
TRACY LAVONNE HANKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11122 CONTINENTAL AVE, CLEVELAND, OH 44104-5006
(216) 322-3204
(216) 400-6939
Mailing address
11122 CONTINENTAL AVE, CLEVELAND, OH 44104-5006
(216) 322-3204
(216) 400-6939
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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