Healthcare Provider Details

I. General information

NPI: 1649009168
Provider Name (Legal Business Name): ALYSSA V MYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N STRAWBERRY LN
MORELAND HILLS OH
44022-1277
US

IV. Provider business mailing address

10 N STRAWBERRY LN
MORELAND HILLS OH
44022-1277
US

V. Phone/Fax

Practice location:
  • Phone: 216-632-2020
  • Fax:
Mailing address:
  • Phone: 216-632-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: