Individual
AMATULLA ADRIENNE FAYE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3581 DALEFORD RD, SHAKER HEIGHTS, OH 44120-5498
(216) 903-0840
Mailing address
3581 DALEFORD RD, SHAKER HEIGHTS, OH 44120-5498
(216) 903-0840
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
OH
Other
Enumeration date
09/17/2024
Last updated
09/24/2024
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