Individual
EDWARD IKENEKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3232 BAFFIN DR, FAIRFIELD TOWNSHIP, OH 45011-7833
(513) 253-3876
Mailing address
3232 BAFFIN DR, FAIRFIELD TOWNSHIP, OH 45011-7833
(513) 253-3876
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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