Individual
COURTNEY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 E 41ST ST, CLEVELAND, OH 44103-2353
(214) 621-1193
Mailing address
1602 E 41ST ST, CLEVELAND, OH 44103-2353
(214) 621-1193
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863148608
—
OH
Enumeration date
06/01/2021
Last updated
06/01/2021
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