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NPI Code Detail

MEDICARE: IMANI LOUDEN

MEDICARE: IMANI LOUDEN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1700547783
Entity Type Code : Individual
Provider Name (Legal Business Name) : IMANI LOUDEN
Provider Business Mailing Address
First Line : 2177 E 95TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-3447
Country : US
Telephone Number : 347-300-3751
Fax Number :
Provider Business Practice Location Address
First Line : 26055 EMERY RD STE G
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-6211
Country : US
Telephone Number : 216-342-4445
Fax Number : 216-342-4443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2022
Last Update Date : 01/03/2022

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Directions to “ IMANI LOUDEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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