Healthcare Provider Details

I. General information

NPI: 1346973427
Provider Name (Legal Business Name): LYNETTE NADINE FRANKLIN HOME HEALTH AID
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYNETTE NADINE PORTER HOME HEALTH AID

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 07/06/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11401 MARTIN LUTHER KING JR DR
CLEVELAND OH
44105-2547
US

IV. Provider business mailing address

11401 MARTIN LUTHER KING JR DR
CLEVELAND OH
44105-2547
US

V. Phone/Fax

Practice location:
  • Phone: 216-262-6627
  • Fax: 216-417-2037
Mailing address:
  • Phone: 216-262-6627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: