Individual
MARVELLA FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5706 WHITE AVE, CLEVELAND, OH 44103-3028
(216) 400-4666
Mailing address
5706 WHITE AVE, CLEVELAND, OH 44103-3028
(216) 400-4666
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
347C00000X
Private Vehicle
—
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
OH
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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