Individual
EBONY CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12225 VALLEY LANE DR APT 104, GARFIELD HEIGHTS, OH 44125-4559
(216) 471-0295
Mailing address
12225 VALLEY LANE DR APT 104, GARFIELD HEIGHTS, OH 44125-4559
(216) 471-0295
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
400712590108
OH
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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