Individual
BROOKIE L FAVORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4305 E 164TH ST, CLEVELAND, OH 44128-2411
(216) 533-0446
Mailing address
4305 E 164TH ST, CLEVELAND, OH 44128-2411
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
RS885870
OH
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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