Most Relevant Information
Provider Data
| NPI Number: | 1003651886 |
| Provider Name: | LYDELL WILLIS |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/25/2024 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
80 N PORTAGE PATH APT 14A8
AKRON
OH
443032526
Practice Location Phone/Fax
| Phone: | 7023544865 |
| Fax: |
Provider Mailing Location
80 N PORTAGE PATH APT 14A8
AKRON
OH
443032526
Provider Mailing Phone/Fax
| Phone: | 7023544865 |
| Fax: |