Individual
EVETTE CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1630 PARKER DR, CLEVELAND, OH 44124-3619
(216) 254-3884
Mailing address
4296 E 131ST ST, CLEVELAND, OH 44105-6353
(216) 254-3884
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN.158460-M-IV
OH
372500000X
Chore Provider
Primary
—
OH
376J00000X
Homemaker
—
OH
385HR2065X
Child Physical Disabilities Respite Care
—
OH
Other
Enumeration date
07/18/2015
Last updated
12/18/2024
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