Provider Demographics
NPI:1215453675
Name:NJOKU, IHEOMA
Entity type:Individual
Prefix:
First Name:IHEOMA
Middle Name:
Last Name:NJOKU
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 1:1858 LAMPSON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-1530
Mailing Address - Country:US
Mailing Address - Phone:216-512-3248
Mailing Address - Fax:
Practice Address - Street 1:15409 EUCLID AVE APT 108
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-2835
Practice Address - Country:US
Practice Address - Phone:216-450-9961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide