Individual
DONALD ALFRED WOODRUFF III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5371 HOLLY RD, BEDFORD HTS, OH 44146-1501
(216) 532-4811
Mailing address
5371 HOLLY RD, BEDFORD HTS, OH 44146-1501
(216) 532-4811
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
1848112
OH
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1828117
OH
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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