Daejhaun Bell

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

NPI 1780466565 · NPPES record last updated Oct 17, 2023

Key facts

NPI
1780466565
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
CDCA.090664 (OH)
Practice address
205 Wadsworth Rd
Wadsworth, OH 44281-9580
Phone
(234) 217-8882
NPI assigned
Oct 17, 2023
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
CDCA.090664OHMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CDCA.090664 OH Yes

Addresses

Primary practice location

205 Wadsworth Rd
Wadsworth, OH 44281-9580

Mailing address

205 Wadsworth Rd
Wadsworth, OH 44281-9580

Other providers in Wadsworth, OH

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

Sources for this page

Verify at the official NPI Registry.