Healthcare Provider Details

I. General information

NPI: 1518710169
Provider Name (Legal Business Name): DORCAS MUTHONI NJOROGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 WOODBRIDGE XING
CHARDON OH
44024-1464
US

IV. Provider business mailing address

104 WOODBRIDGE XING
CHARDON OH
44024-1464
US

V. Phone/Fax

Practice location:
  • Phone: 628-209-9597
  • Fax:
Mailing address:
  • Phone: 628-209-9597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: