Individual
MS. KHALIAH H WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4161 WYNCOTE RD, SOUTH EUCLID, OH 44121-3113
(216) 254-2949
Mailing address
4161 WYNCOTE RD, SOUTH EUCLID, OH 44121-3113
(216) 254-2949
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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