Robert Hutman Leathers
Nurse's Aide in Fairview Park, OH. Individual provider (NPI-1).
NPI number1164031506
StatusActive
Last updated in NPPESOct 9, 2020
Details
- NPI
- 1164031506
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Hutman Leathers
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2020
- Certification date
- Oct 9, 2020
- Last updated
- Oct 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | – | Yes |
| 374U00000X | Home Health Aide | – | – |
Practice location
22371 Lorain RoadFairview Park, OH 44126
Phone 216-322-0960
Mailing address
22371 Lorain RoadFairview Park, OH 44126
Phone 216-322-0960
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