Joel Matos
Home Health in Cleveland, OH. Individual provider (NPI-1).
NPI number1104603000
StatusActive
Last updated in NPPESSep 13, 2023
Details
- NPI
- 1104603000
- Entity type
- Individual (NPI-1)
- Name
- Joel Matos
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2023
- Certification date
- Sep 13, 2023
- Last updated
- Sep 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
4431 Fairway DrCleveland, OH 44135-1831
Phone 216-624-8635
Mailing address
4431 Fairway DrCleveland, OH 44135-1831
Phone 216-624-8635
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