Stallworth, Latasha Jenee

Stallworth, Latasha Jenee is an sole proprietor health care provider with primary practice located at 4992 Donovan Dr , Garfield Heights OH 44125-2025. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Stallworth, Latasha Jenee can be contacted via phone (216) 924-8012.

Contact Information

Primary practice address
4992 Donovan Dr Garfield Heights OH 44125-2025
Phone: (216) 924-8012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1922755164
LBN Legal business name Stallworth, Latasha Jenee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2022
Last updated Mar 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922755164 NPPES
Ohio MEDICAID 0122796
Ohio MEDICAID 1825645

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