Individual
ARETHA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6827 FORMAN AVE, CLEVELAND, OH 44105-1419
(216) 376-5050
Mailing address
6827 FORMAN AVE, CLEVELAND, OH 44105-1419
(216) 376-5050
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0175060
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175060
OHIO DEPARTMENT OF MEDICAID
OH
Enumeration date
09/24/2016
Last updated
09/24/2016
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