Individual
DAJSHA GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11812 BUCKINGHAM AVE, CLEVELAND, OH 44120-1948
(216) 304-0560
Mailing address
11812 BUCKINGHAM AVE, CLEVELAND, OH 44120-1948
(216) 304-0560
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
332U00000X
Home Delivered Meals
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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