Healthcare Provider Details

I. General information

NPI: 1962963108
Provider Name (Legal Business Name): PDN OPTIONS FOR QUALITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 03/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18339 JEFFERSON DR
WALTON HILLS OH
44146-5050
US

IV. Provider business mailing address

18339 JEFFERSON DR
WALTON HILLS OH
44146-5050
US

V. Phone/Fax

Practice location:
  • Phone: 216-326-5647
  • Fax: 440-252-5030
Mailing address:
  • Phone: 216-326-5647
  • Fax: 440-252-5030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: INGER NICOLE SCOTT
Title or Position: CLINICAL MANAGER
Credential: RN
Phone: 216-326-5647