MEDICARE: LATOYA M ALLEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker	601150990825	OH

General Provider Information

NPI Number	:	1285576835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA M ALLEN

Provider Business Mailing Address
First Line	:	12604 DARLINGTON AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44125-3755
Country	:	US
Telephone Number	:	216-532-6416
Fax Number	:

Provider Business Practice Location Address
First Line	:	12604 DARLINGTON AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44125-3755
Country	:	US
Telephone Number	:	216-532-6416
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ LATOYA M ALLEN ” Practice Location

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