Individual
EBONY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
852 WAYSIDE RD, CLEVELAND, OH 44110-2960
(216) 301-4089
Mailing address
852 WAYSIDE RD, CLEVELAND, OH 44110-2960
(216) 301-4089
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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