Individual
EBONY CHANEL ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14201 KENNERDOWN AVE, MAPLE HEIGHTS, OH 44137-3625
(216) 338-4181
Mailing address
14201 KENNERDOWN AVE, MAPLE HEIGHTS, OH 44137-3625
(216) 338-4181
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1829445
OH
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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