Most Relevant Information
Provider Data
| NPI Number: | 1003634635 |
| Provider Name: | LATISHA KIRK |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/02/2024 |
| Last Updated: | 10/02/2024 |
Provider Practice Location
631 ALABAMA PL
BARBERTON
OH
442034074
Practice Location Phone/Fax
| Phone: | 2345718850 |
| Fax: |
Provider Mailing Location
631 ALABAMA PL
BARBERTON
OH
442034074
Provider Mailing Phone/Fax
| Phone: | 2345718850 |
| Fax: |