Individual
LAKEISHA M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA,STNA, MEDICAL AS
Contact information
Practice address
3470 E 125TH ST, CLEVELAND, OH 44120-4322
(216) 237-7737
Mailing address
3470 E 125TH ST, CLEVELAND, OH 44120-4322
(216) 237-7737
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RM677819
OH
251E00000X
Home Health Agency
RM677819
OH
385H00000X
Respite Care
RM677819
OH
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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