Provider Demographics
NPI:1861250805
Name:ROBINSON, ALEEONA LA'BRENDA
Entity type:Individual
Prefix:
First Name:ALEEONA
Middle Name:LA'BRENDA
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 1:5239 ARCH ST
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-1507
Mailing Address - Country:US
Mailing Address - Phone:330-217-3923
Mailing Address - Fax:
Practice Address - Street 1:5239 ARCH ST
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-1507
Practice Address - Country:US
Practice Address - Phone:330-217-3923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide