Individual provider · NPI-1

Leeanna Teresa Archie

Technician, Personal Care Attendant · Cleveland, OH

NPI number1861216871
StatusActive
Last updated in NPPESNov 15, 2024

Details

NPI
1861216871
Entity type
Individual (NPI-1)
Name
Leeanna Teresa Archie
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 15, 2024
Certification date
Nov 15, 2024
Last updated
Nov 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant602372370922OHYes
374U00000X Home Health Aide602372370922OH
376K00000X Nurse's Aide602372370922OH
3747A0650X Technician, Attendant Care Provider602372370922OH

Practice location

1271 E 169th St
Cleveland, OH 44110-1565

Phone 216-239-7159

Mailing address

1273 E 169th St
Cleveland, OH 44110-1565

Phone 216-239-7159

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