Most Relevant Information
Provider Data
| NPI Number: | 1003508540 |
| Provider Name: | DEAIRA ALVIS QMHS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/23/2023 |
| Last Updated: | 05/23/2023 |
Provider Practice Location
13422 KINSMAN RD
CLEVELAND
OH
441204410
Practice Location Phone/Fax
| Phone: | 2162834400 |
| Fax: | 2162835359 |
Provider Mailing Location
13422 KINSMAN RD
CLEVELAND
OH
441204410
Provider Mailing Phone/Fax
| Phone: | 2162834400 |
| Fax: | 2162835359 |