Healthcare Provider Details

I. General information

NPI: 1326977380
Provider Name (Legal Business Name): JOYA DAVONNE CALLOWAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1496 S GREEN RD
CLEVELAND OH
44121-4038
US

IV. Provider business mailing address

3715 W GLEN DR
ALSIP IL
60803-1095
US

V. Phone/Fax

Practice location:
  • Phone: 216-389-7413
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: