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Individual

KEAIRA AUSHAI UTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3041 E 73RD ST, CLEVELAND, OH 44104-4166
(216) 210-0512
Mailing address
3041 E 73RD ST, CLEVELAND, OH 44104-4166
(216) 210-0512

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
253Z00000X
In Home Supportive Care Agency
372500000X
Chore Provider
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
Primary
374U00000X
Home Health Aide
376K00000X
Nurse's Aide

Other

Enumeration date
06/24/2022
Last updated
06/28/2022
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