Individual
JENNIFER DENICE MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A
Contact information
Practice address
990 EAST 131 ST, CLEVELAND, OH 44108-2041
(216) 702-5964
Mailing address
990 E 131ST ST, CLEVELAND, OH 44108-2041
(216) 702-5964
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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