Individual
ELIZABETH RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME AID
Contact information
Practice address
3153 W 31ST ST, CLEVELAND, OH 44109-1507
(216) 322-6620
Mailing address
3153 W 31ST ST, CLEVELAND, OH 44109-1507
(216) 322-6620
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1898920
—
OH
Enumeration date
11/22/2020
Last updated
11/22/2020
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