Individual
CHANEL A CHEATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9527 PLYMOUTH AVE, GARFIELD HEIGHTS, OH 44125-2366
(216) 256-1264
Mailing address
9527 PLYMOUTH AVE, GARFIELD HEIGHTS, OH 44125-2366
(216) 256-1264
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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