Individual
DOROTHEA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4196 E 187TH ST, CLEVELAND, OH 44122-6954
(216) 469-9021
Mailing address
4196 E 187TH ST, CLEVELAND, OH 44122-6954
(216) 469-9021
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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