Healthcare Provider Details

I. General information

NPI: 1992866529
Provider Name (Legal Business Name): SYLVIA BOYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 RUTH ELLEN DR SUTIE 211
RICHMOND HTS OH
44143-1059
US

IV. Provider business mailing address

120 RUTH ELLEN DR SUTIE 211
RICHMOND HTS OH
44143-1059
US

V. Phone/Fax

Practice location:
  • Phone: 216-731-8239
  • Fax:
Mailing address:
  • Phone: 216-731-8239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: