Provider Demographics
NPI:1588255327
Name:ROZELL, LATONIA
Entity type:Individual
Prefix:
First Name:LATONIA
Middle Name:
Last Name:ROZELL
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 1:13809 OAKVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-6060
Mailing Address - Country:US
Mailing Address - Phone:216-856-5925
Mailing Address - Fax:
Practice Address - Street 1:13809 OAKVIEW BLVD
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-6060
Practice Address - Country:US
Practice Address - Phone:216-856-5925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide