Individual provider · NPI-1

Ikeia Bankhead

Homemaker · Phoenix, AZ

NPI number1902685803
StatusActive
Last updated in NPPESSep 28, 2023

Details

NPI
1902685803
Entity type
Individual (NPI-1)
Name
Ikeia Bankhead
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2023
Certification date
Sep 28, 2023
Last updated
Sep 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes
171M00000X Case Manager/Care Coordinator––
374U00000X Home Health Aide––
376K00000X Nurse's Aide––

Practice location

1632 W Estes Way
Phoenix, AZ 85041-2616

Phone 330-809-5867

Mailing address

1632 W Estes Way
Phoenix, AZ 85041-2616

Phone 330-809-5867

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