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Individual

SADE BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4906 W 14TH ST, CLEVELAND, OH 44109-5621
(216) 854-3339
Mailing address
4906 W 14TH ST, CLEVELAND, OH 44109-5621
(216) 854-3339

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
251C00000X
Developmentally Disabled Services Day Training Agency
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency
Primary
261QA0600X
Adult Day Care Clinic/Center
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
06/26/2023
Last updated
06/26/2023
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