Individual
MS. CARLA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8206 CRUMB AVE FL 1, CLEVELAND, OH 44103-2128
(216) 249-4303
Mailing address
8206 CRUMB AVE FL 1, CLEVELAND, OH 44103-2128
(216) 249-4303
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184909
—
OH
Enumeration date
09/05/2017
Last updated
09/05/2017
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