Individual
TAKEITHEA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
472 ROBERTA DR, PAINESVILLE, OH 44077-6180
(216) 253-4732
Mailing address
472 ROBERTA DR, PAINESVILLE, OH 44077-6180
(216) 253-4732
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
OH
261QA0600X
Adult Day Care Clinic/Center
—
OH
3747P1801X
Personal Care Attendant
Primary
—
OH
376J00000X
Homemaker
—
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
OH
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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