Healthcare Provider Details

I. General information

NPI: 1891521985
Provider Name (Legal Business Name): AKILAH METTS STNA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 CHURCH ST APT 1
CINCINNATI OH
45204-1996
US

IV. Provider business mailing address

610 CHURCH ST APT 1
CINCINNATI OH
45204-1996
US

V. Phone/Fax

Practice location:
  • Phone: 859-628-9186
  • Fax:
Mailing address:
  • Phone: 859-628-9186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: