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Individual

REEVE CARRIERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7770 METRIC DR, MENTOR, OH 44060-4862
(216) 798-9231
Mailing address
7770 METRIC DR, MENTOR, OH 44060-4862
(216) 798-9231

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
261QA0600X
Adult Day Care Clinic/Center
Primary
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0156948
OH
Enumeration date
12/14/2020
Last updated
12/14/2020
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