Provider Demographics
NPI:1063202224
Name:MOTLEY, PARIS LAVON
Entity type:Individual
Prefix:
First Name:PARIS
Middle Name:LAVON
Last Name:MOTLEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 ERIE ST
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-2252
Mailing Address - Country:US
Mailing Address - Phone:330-957-1353
Mailing Address - Fax:
Practice Address - Street 1:311 ERIE ST
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-2252
Practice Address - Country:US
Practice Address - Phone:330-957-1353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant