Provider Demographics
NPI:1386366102
Name:ADAMS, LULA
Entity type:Individual
Prefix:
First Name:LULA
Middle Name:
Last Name:ADAMS
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 1:9307 SHADY LAKE DR APT 104S
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-4554
Mailing Address - Country:US
Mailing Address - Phone:216-287-3588
Mailing Address - Fax:216-820-4445
Practice Address - Street 1:9307 SHADY LAKE DR APT 104S
Practice Address - Street 2:
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-4554
Practice Address - Country:US
Practice Address - Phone:216-287-3588
Practice Address - Fax:216-820-4445
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals
No342000000XTransportation ServicesTransportation Network Company
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant