Provider Demographics
NPI:1376247916
Name:TALLEY, NARKITA N (HOME HEALTH AID)
Entity Type:Individual
Prefix:
First Name:NARKITA
Middle Name:N
Last Name:TALLEY
Suffix:
Gender:F
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19008 PAWNEE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44119-1721
Mailing Address - Country:US
Mailing Address - Phone:216-418-9640
Mailing Address - Fax:
Practice Address - Street 1:889 EVANGELINE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-3146
Practice Address - Country:US
Practice Address - Phone:216-418-9640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide