Provider Demographics
NPI:1194434076
Name:COX, COURTNEY MARION
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:MARION
Last Name:COX
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 1:7512 KENILWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-1429
Mailing Address - Country:US
Mailing Address - Phone:216-712-1187
Mailing Address - Fax:
Practice Address - Street 1:7512 KENILWORTH AVE
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-1429
Practice Address - Country:US
Practice Address - Phone:216-712-1187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide