Individual
CLEANITA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11210 ORVILLE AVENUE, CLEVELAND, OH 44106
(216) 972-8256
Mailing address
11210 ORVILLE AVENUE, CLEVELAND, OH 44106
(216) 972-8256
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0153530
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153530
—
OH
Enumeration date
12/11/2017
Last updated
12/11/2017
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