Individual
CHANELL DEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6516 SAINT CLAIR AVE APT 3, CLEVELAND, OH 44103-1636
(216) 225-8749
Mailing address
8119 LINWOOD AVE, CLEVELAND, OH 44103-3443
(216) 225-8749
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
UE444939
OH
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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