Provider Demographics
NPI:1154165165
Name:HOBBS, EDWARD LEON JR
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:LEON
Last Name:HOBBS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 E 205TH ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1002
Mailing Address - Country:US
Mailing Address - Phone:216-225-8757
Mailing Address - Fax:
Practice Address - Street 1:94 E 205TH ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1002
Practice Address - Country:US
Practice Address - Phone:216-225-8757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care