Individual
CARMALITA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5137 STANLEY AVE, MAPLE HEIGHTS, OH 44137-2826
(121) 628-0568
Mailing address
5137 STANLEY AVE, MAPLE HEIGHTS, OH 44137-2826
(216) 280-5681
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302F00000X
Exclusive Provider Organization
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174860
—
OH
Enumeration date
09/24/2020
Last updated
09/24/2020
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