Provider Demographics
NPI:1114603941
Name:OWENS, CA'LEHA
Entity Type:Individual
Prefix:
First Name:CA'LEHA
Middle Name:
Last Name:OWENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SHADYBROOK DR APT Q
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-3327
Mailing Address - Country:US
Mailing Address - Phone:330-714-6381
Mailing Address - Fax:
Practice Address - Street 1:700 SHADYBROOK DR APT Q
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-3327
Practice Address - Country:US
Practice Address - Phone:330-714-6381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker