Individual
MS. INDIA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12000 HASTINGS RD, CLEVELAND, OH 44125-4344
(216) 358-3565
Mailing address
12401 ROCKSIDE RD UNIT 25591, CLEVELAND, OH 44125-7329
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
501110600506
OH
3747P1801X
Personal Care Attendant
501110600506
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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