Provider Demographics
NPI:1598440034
Name:RUTLEDGE, CHAROLETTIA MARIE
Entity Type:Individual
Prefix:
First Name:CHAROLETTIA
Middle Name:MARIE
Last Name:RUTLEDGE
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 1:4505 CULLEN DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-7216
Mailing Address - Country:US
Mailing Address - Phone:216-526-0681
Mailing Address - Fax:
Practice Address - Street 1:4505 CULLEN DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-7216
Practice Address - Country:US
Practice Address - Phone:216-526-0681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health