Provider Demographics
NPI:1952163693
Name:ROBINSON, ANGEL K
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:K
Last Name:ROBINSON
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 1:11822 REXFORD AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-2658
Mailing Address - Country:US
Mailing Address - Phone:678-333-9929
Mailing Address - Fax:
Practice Address - Street 1:11822 REXFORD AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-2658
Practice Address - Country:US
Practice Address - Phone:678-333-9929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health