Provider Demographics
NPI:1285221606
Name:BILOVECKY, AUDREY MITTEE
Entity Type:Individual
Prefix:MRS
First Name:AUDREY
Middle Name:MITTEE
Last Name:BILOVECKY
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 1:1748 MAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-4106
Mailing Address - Country:US
Mailing Address - Phone:216-233-0758
Mailing Address - Fax:
Practice Address - Street 1:16410 SEVILLE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-3715
Practice Address - Country:US
Practice Address - Phone:216-581-0107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide