Provider Demographics
NPI:1881092500
Name:ALLISON, LILY BEATRICE (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:LILY
Middle Name:BEATRICE
Last Name:ALLISON
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MS
Other - First Name:LILY
Other - Middle Name:BEATRICE
Other - Last Name:CHNAPKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:19205 PEARL RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6901
Mailing Address - Country:US
Mailing Address - Phone:440-268-9555
Mailing Address - Fax:
Practice Address - Street 1:19205 PEARL RD
Practice Address - Street 2:SUITE 203
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6901
Practice Address - Country:US
Practice Address - Phone:440-268-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA.05847310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility