Healthcare Provider Details

I. General information

NPI: 1518166859
Provider Name (Legal Business Name): NARKITA JEAN SUMMERS HOME HEALTH AIDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2007
Last Update Date: 07/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18409 HILLER AVE
CLEVELAND OH
44119-1709
US

IV. Provider business mailing address

18409 HILLER AVE
CLEVELAND OH
44119-1709
US

V. Phone/Fax

Practice location:
  • Phone: 216-269-8338
  • Fax:
Mailing address:
  • Phone: 216-269-8338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number2508343
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: