Individual
EMELL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11412 MATILDA AVE, CLEVELAND, OH 44105-2835
(216) 857-8989
Mailing address
11412 MATILDA AVE, CLEVELAND, OH 44105-2835
(216) 857-8989
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214145
—
OH
Enumeration date
01/19/2018
Last updated
01/19/2018
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