Most Relevant Information
Provider Data
| NPI Number: | 1003546292 |
| Provider Name: | EBONY ALLI |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/13/2022 |
| Last Updated: | 06/13/2022 |
Provider Practice Location
3435 QUINLAN BLVD
CANAL WINCHESTER
OH
431108162
Practice Location Phone/Fax
| Phone: | 6142708233 |
| Fax: |
Provider Mailing Location
3435 QUINLAN BLVD
CANAL WINCHESTER
OH
431108162
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |