Individual provider · NPI-1
Fred Abercrumbie IV
Home Health Aide · Cleveland, OH
NPI number1427884584
StatusActive
Last updated in NPPESSep 13, 2024
Details
- NPI
- 1427884584
- Entity type
- Individual (NPI-1)
- Name
- Mr. Fred Abercrumbie IV
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2024
- Certification date
- Sep 13, 2024
- Last updated
- Sep 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
3719 E 57th StCleveland, OH 44105-3306
Phone 216-327-2368
Mailing address
3719 E 57th StCleveland, OH 44105-3306
Phone 216-327-2368
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