Individual provider · NPI-1
India Bennett
Technician, Attendant Care Provider · Cleveland, OH
NPI number1851998835
StatusActive
Last updated in NPPESOct 3, 2020
Details
- NPI
- 1851998835
- Entity type
- Individual (NPI-1)
- Name
- Ms. India Bennett
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2020
- Certification date
- Oct 3, 2020
- Last updated
- Oct 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | 501110600506 | OH | Yes |
| 3747P1801X | Technician, Personal Care Attendant | 501110600506 | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
12000 Hastings RdCleveland, OH 44125-4344
Phone 216-358-3565
Mailing address
12401 Rockside Rd Unit 25591Cleveland, OH 44125-7329
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