Individual
KESHIA CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9594 LEDGE ACRES DR, MACEDONIA, OH 44056-1072
(216) 338-4338
Mailing address
9594 LEDGE ACRES DR, MACEDONIA, OH 44056-1072
(216) 338-4338
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
172A00000X
Driver
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0474650
—
OH
01
—
7719322
OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
OH
Enumeration date
06/29/2022
Last updated
06/29/2022
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