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NPI Code Detail

MEDICARE: LATISHA GATSON

MEDICARE:   LATISHA  GATSON
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
1251E00000XHome Health AgencyOH

General Provider Information

NPI Number : 1508722273
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATISHA GATSON
Provider Business Mailing Address
First Line : 3852 GROSVENOR RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44118-2314
Country : US
Telephone Number : 216-235-3473
Fax Number :
Provider Business Practice Location Address
First Line : 3852 GROSVENOR RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44118-2314
Country : US
Telephone Number : 216-235-3473
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2025
Last Update Date : 01/05/2026

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Directions to “ LATISHA GATSON ” Practice Location

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