Individual
AVA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Contact information
Practice address
2689 E 110TH ST, CLEVELAND, OH 44104-3502
(216) 450-0551
Mailing address
2689 E 110TH ST, CLEVELAND, OH 44104-3502
(216) 450-0551
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7771
—
OH
Enumeration date
10/14/2020
Last updated
09/08/2023
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