Individual provider · NPI-1

Emmanuel Ahmadu

Community Health Worker · Cleveland, OH

NPI number1306663695
StatusActive
Last updated in NPPESSep 26, 2024

Details

NPI
1306663695
Entity type
Individual (NPI-1)
Name
Emmanuel Ahmadu
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 26, 2024
Certification date
Sep 26, 2024
Last updated
Sep 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

3500 Carnegie Ave
Cleveland, OH 44115-2641

Phone 440-234-2006

Mailing address

343 W Bagley Rd
Berea, OH 44017-1370

Phone 440-260-8300

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