Most Relevant Information
Provider Data
| NPI Number: | 1003514159 |
| Provider Name: | TANESHA TIMBERLAKE |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/17/2023 |
| Last Updated: | 02/17/2023 |
Provider Practice Location
2817 COMMUNITY COLLEGE
CLEVELAND
OH
441153122
Practice Location Phone/Fax
| Phone: | 4403819668 |
| Fax: |
Provider Mailing Location
2817 COMMUNITY COLLEGE
CLEVELAND
OH
441153122
Provider Mailing Phone/Fax
| Phone: | 4403819668 |
| Fax: |