Individual
YOLANDA COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2845 E 120TH ST, CLEVELAND, OH 44120-2121
(216) 235-5260
Mailing address
2845 E 120TH ST, CLEVELAND, OH 44120-2121
(216) 235-5260
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098112
—
OH
Enumeration date
11/30/2020
Last updated
11/30/2020
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