Individual
ELISE MALIN KOPIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23220 WENDOVER DR, BEACHWOOD, OH 44122-1445
(216) 497-5346
Mailing address
23220 WENDOVER DR, BEACHWOOD, OH 44122-1445
(216) 407-5346
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1823094
DODD
OH
Enumeration date
08/14/2022
Last updated
08/14/2022
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