Individual
FANTA D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3185 E 121ST ST, CLEVELAND, OH 44120-3828
(216) 600-6853
Mailing address
3185 E 121ST ST, CLEVELAND, OH 44120-3828
(216) 600-6853
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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