MEDICARE: DONETTA HOBBS

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1134939770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONETTA HOBBS

Provider Business Mailing Address
First Line	:	983 GLENSIDE RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-3441
Country	:	US
Telephone Number	:	216-337-9717
Fax Number	:

Provider Business Practice Location Address
First Line	:	1054 RENFIELD RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44121-2416
Country	:	US
Telephone Number	:	216-382-9545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2025
Last Update Date	:	01/07/2025

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Directions to “ DONETTA HOBBS ” Practice Location

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