Individual
OCTAVIA BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4182 LEE RD, CLEVELAND, OH 44128-2454
(216) 288-8761
Mailing address
10904 BRUNSWICK AVE, CLEVELAND, OH 44125-3115
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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