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NPI Code Detail

MEDICARE: ULONDA MATTHEWS

MEDICARE: ULONDA MATTHEWS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1033716154
Entity Type Code : Individual
Provider Name (Legal Business Name) : ULONDA MATTHEWS
Provider Business Mailing Address
First Line : 2693 MAYFAIR CIR
Second Line :
City : AKRON
State : OH
Zip : 44312-5401
Country : US
Telephone Number : 330-706-8531
Fax Number :
Provider Business Practice Location Address
First Line : 4300 LYNN RD STE 201
Second Line :
City : RAVENNA
State : OH
Zip : 44266-7838
Country : US
Telephone Number : 216-264-0008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2020
Last Update Date : 12/01/2020

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1891305157 — EVER WELL COMMUNITY HEALTH
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Directions to “ ULONDA MATTHEWS ” Practice Location

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