Individual
CORTRELL LIGEL MADDOX SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
6310 NW 106TH ST APT 111, JOHNSTON, IA 50131-2465
(515) 402-8762
Mailing address
3300 SE GLENSTONE DR UNIT 4, GRIMES, IA 50111-5084
(515) 402-8762
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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