Shalanda M Odom-Mack in Cleveland - Nurse's Aide
Shalanda M Odom-Mack - NPI 1336351634
Shalanda M Odom-Mack is a Nurse's Aide in Cleveland, Ohio. Shalanda M Odom-Mack practices all healthcare services and medical treatments related to Nurse's Aide. The NPI Number for Shalanda M Odom-Mack is 1336351634. The last update date is 2014-05-23.
Shalanda M Odom-Mack's current location address is 11305 Keppler Ct, Cleveland, Ohio. You can contact this provider via phone number 2168012700 and fax number 2168012700. The mailing address for Shalanda M Odom-Mack is 11305 Keppler Ct, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shalanda M Odom-Mack |
|---|---|
| Address | 11305 Keppler Ct, Cleveland, Ohio |
| Phone Number | 2168012700 |
| Fax Number | 2168012700 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1336351634 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2014-05-23 |
Provider Mailing Address Detail
| Address | 11305 Keppler Ct |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441056242 |
| Phone Number | 2168012700 |
| Fax Number | 2168012700 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse's Aide |
|---|---|
| Taxonomy | 376K00000X |
| Licence No | 376939251197 |
|
Definition: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course genera |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2365435 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shalanda M Odom-Mack by the Centers for Medicare & Medicaid Services (CMS)?
The Shalanda M Odom-Mack has been assigned the NPI (National Provider Identifier) 1336351634. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Shalanda M Odom-Mack is physically located?
The Shalanda M Odom-Mack is situated at the following address: 11305 Keppler Ct, Cleveland, OH 441056242.
What is the Shalanda M Odom-Mack's specialty and taxonomy code?
The Shalanda M Odom-Mack's specialty is Nurse's Aide, and the corresponding taxonomy code is 376K00000X.
When was the Shalanda M Odom-Mack's 1336351634 issued?
The Shalanda M Odom-Mack's 1336351634 was issued on 2007-05-07.
When was the information regarding Shalanda M Odom-Mack most recently updated?
The details pertaining to the Shalanda M Odom-Mack, including its address, specialty, and other relevant information, were last refreshed on 2014-05-23.
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