Provider Demographics
NPI:1699361691
Name:CLEVERSY, DELIGHT ADELINE
Entity Type:Individual
Prefix:MRS
First Name:DELIGHT
Middle Name:ADELINE
Last Name:CLEVERSY
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 1:30211 TRUMAN AVE
Mailing Address - Street 2:
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-1727
Mailing Address - Country:US
Mailing Address - Phone:440-382-2912
Mailing Address - Fax:
Practice Address - Street 1:30211 TRUMAN AVE
Practice Address - Street 2:
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-1727
Practice Address - Country:US
Practice Address - Phone:440-382-2912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker