Most Relevant Information
Provider Data
| NPI Number: | 1003403130 |
| Provider Name: | ELIJAH ADDISON |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/22/2020 |
| Last Updated: | 12/22/2020 |
Provider Practice Location
6577 GRAF DR
CINCINNATI
OH
452301417
Practice Location Phone/Fax
| Phone: | 5134911888 |
| Fax: |
Provider Mailing Location
6577 GRAF DR
CINCINNATI
OH
452301417
Provider Mailing Phone/Fax
| Phone: | 5134911888 |
| Fax: |