Individual
MISS KELLI MICHELE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STATE TESTED
Contact information
Practice address
13512 4TH AVE, EAST CLEVELAND, OH 44112-3116
(216) 882-1937
Mailing address
13512 FOURTH, EAST CLEVELAND, OH 44112
(216) 882-1937
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
401478260113
OH
374U00000X
Home Health Aide
401478260113
OH
376K00000X
Nurse's Aide
Primary
401478260113
OH
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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