Provider Demographics
NPI:1316808397
Name:OKOH, OMEKO OSE
Entity type:Individual
Prefix:
First Name:OMEKO
Middle Name:OSE
Last Name:OKOH
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 1:726 BERWICK CT
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1495
Mailing Address - Country:US
Mailing Address - Phone:216-659-3886
Mailing Address - Fax:216-659-3886
Practice Address - Street 1:726 BERWICK CT
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1495
Practice Address - Country:US
Practice Address - Phone:216-659-3886
Practice Address - Fax:216-659-3886
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-19
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant