Individual
DERRICK PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3628 CAPERS AVE, CLEVELAND, OH 44115-3352
(216) 224-8550
Mailing address
3628 CAPERS AVE, CLEVELAND, OH 44115-3352
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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