Gervia S Lane
Case Manager/Care Coordinator in Mentor, OH. Individual provider (NPI-1).
NPI number1144498015
StatusActive
Last updated in NPPESFeb 25, 2022
Details
- NPI
- 1144498015
- Entity type
- Individual (NPI-1)
- Name
- Miss Gervia S Lane
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2008
- Certification date
- Feb 25, 2022
- Last updated
- Feb 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 347C00000X | Private Vehicle | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
7232 Justin WayMentor, OH 44060-4881
Phone 440-578-8200
Mailing address
7232 Justin WayMentor, OH 44060-4881
Phone 440-578-8200
Other practice locations
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