Individual
LATITIA HARDAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 BEECHWOOD AVE, CLEVELAND, OH 44118-1833
(216) 309-8111
Mailing address
3320 BEECHWOOD AVE, CLEVELAND, OH 44118-1833
(216) 309-8111
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
OH
174H00000X
Health Educator
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
247000000X
Health Information Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/02/2019
Last updated
03/11/2026
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