Individual
ELLAVITA MECHELL NIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12904 KADEL AVE, CLEVELAND, OH 44135-4744
(216) 860-2229
Mailing address
12904 KADEL AVE, CLEVELAND, OH 44135-4744
(216) 860-2229
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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