MEDICARE: DAHNIA WOODI

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	:	1841956620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAHNIA WOODI

Provider Business Mailing Address
First Line	:	2661 MARTIN LUTHER KING JR DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-3809
Country	:	US
Telephone Number	:	216-612-8640
Fax Number	:

Provider Business Practice Location Address
First Line	:	2661 MARTIN LUTHER KING JR DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-3809
Country	:	US
Telephone Number	:	216-612-8640
Fax Number	:

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

Provider Enumeration Date	:	11/16/2021
Last Update Date	:	11/16/2021

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Directions to “ DAHNIA WOODI ” Practice Location

Language	Start Address	Practice Location

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