Individual
TERRESE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3378 W 135TH ST, CLEVELAND, OH 44111-2402
(216) 352-9987
Mailing address
3378 W 135TH ST, CLEVELAND, OH 44111-2402
(216) 352-9987
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
TA547543
OH
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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