Healthcare Provider Details

I. General information

NPI: 1679500987
Provider Name (Legal Business Name): MRS. JOYCE CAROL MADEJ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 MANCHESTER RD
AKRON OH
44307-1664
US

IV. Provider business mailing address

1233 MANCHESTER RD
AKRON OH
44307-1664
US

V. Phone/Fax

Practice location:
  • Phone: 330-376-2070
  • Fax:
Mailing address:
  • Phone: 330-376-2070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: