Individual
VANESSA KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4806 BURGER AVE, CLEVELAND, OH 44109-5328
(216) 682-9718
Mailing address
4806 BURGER AVE, CLEVELAND, OH 44109-5328
(216) 682-9718
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0244983
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244983
—
OH
Enumeration date
01/19/2022
Last updated
01/19/2022
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