Individual
IYESHA IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33140 AURORA RD STE 202, SOLON, OH 44139-3650
(440) 373-9783
(440) 373-9783
Mailing address
33140 AURORA RD STE 202, SOLON, OH 44139-3650
(440) 373-9783
(440) 373-9783
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
1831545
OH
376J00000X
Homemaker
1831545
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
1831545
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390541
—
OH
Enumeration date
07/10/2020
Last updated
07/10/2020
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