Provider Demographics
NPI:1215506167
Name:HAVILAH CONSULTANTS
Entity type:Organization
Organization Name:HAVILAH CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FNP-BC
Authorized Official - Prefix:MS
Authorized Official - First Name:YALEITA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:216-375-1659
Mailing Address - Street 1:4134 MORLEY DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-8167
Mailing Address - Country:US
Mailing Address - Phone:216-502-1147
Mailing Address - Fax:
Practice Address - Street 1:4134 MORLEY DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-8167
Practice Address - Country:US
Practice Address - Phone:216-375-1659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251J00000XAgenciesNursing Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care