MS. Cheryl Bastulli
MS. Cheryl Bastulli is a Driver in Eastlake, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2020
- Specialties on file
- 5
Practice location Address checks out
1135 E 346th StEastlake, OH 44095-2947
Phone: (440) 669-0640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 274348 (OH) |
|---|---|
| Driver | Taxonomy 172A00000X · Licence 274348 (OH) |
| Adult Day Care Clinic/Center | Taxonomy 261QA0600X · Licence 274348 (OH) |
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X · Licence 274348 (OH) |
| Private Vehicle | Taxonomy 347C00000X · Licence 274348 (OH) |
Record details
| NPI number | 1902402795 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 8, 2020 |
| Last updated in NPPES | December 8, 2020 |
| Certification date | December 8, 2020 |
| Mailing address | 1135 E 346th St, Eastlake, OH 44095-2947 |
Other providers in Eastlake
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Cyrenthia P Pouge
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-
Cameron Lawrence Shreves
698 Waverly Rd, Eastlake, OH 44095-2736 · (440) 251-8377
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Logan Scott Shreves
698 Waverly Rd, Eastlake, OH 44095-2736 · (440) 897-7480