Emily Brodke

Individual provider Active NPI Case Manager/Care Coordinator · Lakewood, OH

NPI 1083494553 · NPPES record last updated Oct 3, 2023

Key facts

NPI
1083494553
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
14701 Detroit Ave
Lakewood, OH 44107-4115
Phone
(440) 578-8200
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

14701 Detroit Ave
Lakewood, OH 44107-4115

Mailing address

7232 Justin Way
Mentor, OH 44060-4881
Phone (440) 578-8200

Other providers in Lakewood, OH

All providers in Lakewood, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.