Individual
DONNETTA RENEE CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 E 172ND ST # UP, CLEVELAND, OH 44119-3129
(216) 333-7387
Mailing address
1218 E 172ND ST # UP, CLEVELAND, OH 44119-3129
(216) 333-7387
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3037181
OH
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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