Individual
HEAVENLY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1223 ERICSSON AVE, AKRON, OH 44306-3880
(330) 554-5283
Mailing address
1223 ERICSSON AVE, AKRON, OH 44306-3880
(330) 554-5283
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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