Individual
CAROLYN HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3467 W 122ND ST, CLEVELAND, OH 44111-3546
(216) 254-2299
Mailing address
3467 W 122ND ST, CLEVELAND, OH 44111-3546
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
SK689244
OH
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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