Provider Demographics
NPI:1942014659
Name:DUNCAN, LEONNA SADA
Entity type:Individual
Prefix:
First Name:LEONNA
Middle Name:SADA
Last Name:DUNCAN
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 1:19012 MOHAWK AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44119-2113
Mailing Address - Country:US
Mailing Address - Phone:440-452-3760
Mailing Address - Fax:
Practice Address - Street 1:19012 MOHAWK AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44119-2113
Practice Address - Country:US
Practice Address - Phone:440-452-3760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care