Individual
KORDAN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13024 GRANNIS RD, GARFIELD HEIGHTS, OH 44125-4414
(216) 820-1076
Mailing address
13024 GRANNIS RD, GARFIELD HEIGHTS, OH 44125-4414
(216) 820-1076
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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