Provider Demographics
NPI:1154014157
Name:CLEVELAND, MACHIA L
Entity type:Individual
Prefix:
First Name:MACHIA
Middle Name:L
Last Name:CLEVELAND
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 1:2944 KNOLLRIDGE DR APT F
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-3450
Mailing Address - Country:US
Mailing Address - Phone:419-901-7227
Mailing Address - Fax:
Practice Address - Street 1:2944 KNOLLRIDGE DR APT F
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45449-3450
Practice Address - Country:US
Practice Address - Phone:419-901-7227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide