Individual
CAPRICE L MUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4610 GREEN RD, WARRENSVILLE HTS, OH 44128
(216) 758-1057
Mailing address
2261 EAST 73RD STREET, CLEVELAND, OH 44103
(216) 758-1057
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/26/2023
Last updated
06/27/2023
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