MEDICARE: CELITA GULLEY

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1699631242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELITA GULLEY

Provider Business Mailing Address
First Line	:	6511 MARSOL RD APT 107
Second Line	:
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-3540
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6511 MARSOL RD APT 107
Second Line	:
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-3540
Country	:	US
Telephone Number	:	216-333-0320
Fax Number	:

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

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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Directions to “ CELITA GULLEY ” Practice Location

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