Individual
EBONY MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4245 W 130TH ST, CLEVELAND, OH 44135-4869
(216) 358-3637
Mailing address
4245 W 130TH ST, CLEVELAND, OH 44135-4869
(216) 358-3637
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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