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Daesean Broadwater

Homemaker in Wickliffe, OH. Individual provider (NPI-1).

NPI number1285570911
StatusActive
Last updated in NPPESApr 27, 2026

Details

NPI
1285570911
Entity type
Individual (NPI-1)
Name
Daesean Broadwater
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 27, 2026
Certification date
Apr 26, 2026
Last updated
Apr 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker–OHYes

Practice location

29706 Euclid Ave
Wickliffe, OH 44092-1831

Phone 330-840-8002

Mailing address

29706 Euclid Ave
Wickliffe, OH 44092-1831

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Other Homemaker providers in Wickliffe, OH

All 16 Homemaker providers in Wickliffe · All 220 providers in Wickliffe

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