Healthcare Provider Details

I. General information

NPI: 1528112489
Provider Name (Legal Business Name): MS. CHERYE MARTIA TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14018 IDAROSE AVE
CLEVELAND OH
44110
US

IV. Provider business mailing address

14018 IDAROSE AVE
CLEVELAND OH
44110
US

V. Phone/Fax

Practice location:
  • Phone: 216-761-4561
  • Fax: 216-761-5331
Mailing address:
  • Phone: 216-761-4561
  • Fax: 216-761-5331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number2171279
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: