Individual
ELLIOTT ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
14630 PURITAS AVE APT 202, CLEVELAND, OH 44135-2848
(216) 269-7935
Mailing address
14039 PURITAS AVENUE PO BOX 35438, CLEVELAND, OH 44135-0438
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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