Individual
MONIQUE CHANTELLE WOODFORK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3503 PENFIELD CT W, COLUMBUS, OH 43227-3732
(614) 957-6146
Mailing address
3503 PENFIELD CT W, COLUMBUS, OH 43227-3732
(614) 957-6146
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
01/15/2026
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