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NPI Code Detail

MEDICARE: EBONY L NEAL

MEDICARE: EBONY L NEAL
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
1374U00000XHome Health Aide378161730500OH
2376K00000XNurse's Aide378161730500OH
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1851941736
Entity Type Code : Individual
Provider Name (Legal Business Name) : EBONY L NEAL
Provider Business Mailing Address
First Line : 990 WALL ST
Second Line :
City : AKRON
State : OH
Zip : 44310-1347
Country : US
Telephone Number : 330-615-9833
Fax Number :
Provider Business Practice Location Address
First Line : 4300 LYNN RD STE 201
Second Line :
City : RAVENNA
State : OH
Zip : 44266-7838
Country : US
Telephone Number : 216-264-0008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2019
Last Update Date : 02/17/2022

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Directions to “ EBONY L NEAL ” Practice Location

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