Individual
KEITH MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 CALM LAKE CIR, APT. A, ROCHESTER, NY 14612-2543
(585) 483-1720
Mailing address
230 CALM LAKE CIR, APT. A, ROCHESTER, NY 14612-2543
(585) 483-1720
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NY
251E00000X
Home Health Agency
Primary
—
NY
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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