Individual
DEASTIA TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4834 E 94TH ST, GARFIELD HTS, OH 44125-2108
(216) 333-5737
Mailing address
4834 E 94TH ST, GARFIELD HTS, OH 44125-2108
(216) 333-5737
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
1832214
OH
343900000X
Non-emergency Medical Transport (VAN)
182214
OH
347C00000X
Private Vehicle
1832214
OH
3747P1801X
Personal Care Attendant
1832214
OH
376J00000X
Homemaker
Primary
1832214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497474
—
OH
Enumeration date
09/16/2022
Last updated
09/16/2022
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