Individual
LEEANNA TERESA ARCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1271 E 169TH ST, CLEVELAND, OH 44110-1565
(216) 239-7159
Mailing address
1273 E 169TH ST, CLEVELAND, OH 44110-1565
(216) 239-7159
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
602372370922
OH
3747P1801X
Personal Care Attendant
Primary
602372370922
OH
374U00000X
Home Health Aide
602372370922
OH
376K00000X
Nurse's Aide
602372370922
OH
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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