Individual
ANITA LOUISE BOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15612 GREENDALE RD, MAPLE HEIGHTS, OH 44137-3716
(216) 632-4123
Mailing address
15612 GREENDALE RD, MAPLE HEIGHTS, OH 44137-3716
(216) 632-4123
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
1814022
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
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Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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