MEDICARE: LA'S DIRECT HOMECARE OF OHIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1528899978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA'S DIRECT HOMECARE OF OHIO

Provider Business Mailing Address
First Line	:	4549 JOYCE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-4920
Country	:	US
Telephone Number	:	216-772-6782
Fax Number	:

Provider Business Practice Location Address
First Line	:	4549 JOYCE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-4920
Country	:	US
Telephone Number	:	216-772-6782
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CYTONIA MARIE WILLIAMS
Credential	:
Telephone Number	:	216-772-6782

Provider Enumeration Date	:	08/08/2024
Last Update Date	:	08/09/2024

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Directions to “LA'S DIRECT HOMECARE OF OHIO ” Practice Location

Language	Start Address	Practice Location

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