Leasie Abiola

Individual provider Active NPI In Home Supportive Care Agency · Cleveland, OH

NPI 1154917516 · NPPES record last updated Sep 4, 2024

Key facts

NPI
1154917516
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
1414 E 109TH St
Cleveland, OH 44106-1223
Phone
(216) 229-5202
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

1414 E 109TH St
Cleveland, OH 44106-1223

Mailing address

1414 E 109TH St
Cleveland, OH 44106-1223
Phone (216) 229-5202

Other providers in Cleveland, OH

All providers in Cleveland, OH · In Home Supportive Care Agency in Ohio

Sources for this page

Verify at the official NPI Registry.