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NPI Code Detail

MEDICARE: BONNIE M WOODLEY

MEDICARE:   BONNIE M WOODLEY
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1578218772
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE M WOODLEY
Provider Business Mailing Address
First Line : 7211 OTIS CT
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-3017
Country : US
Telephone Number : 216-347-3542
Fax Number :
Provider Business Practice Location Address
First Line : 7211 OTIS CT
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-3017
Country : US
Telephone Number : 216-347-3542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2022
Last Update Date : 02/16/2022

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Directions to “ BONNIE M WOODLEY ” Practice Location

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