Provider Demographics
NPI:1124545587
Name:BOAH, LINDA
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:BOAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 BECKETT CENTER DR STE 210
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5018
Mailing Address - Country:US
Mailing Address - Phone:513-386-4298
Mailing Address - Fax:
Practice Address - Street 1:8050 BECKETT CENTER DR STE 210
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5018
Practice Address - Country:US
Practice Address - Phone:513-386-4298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide