Provider Demographics
NPI:1386443869
Name:WASHINGTON, RENEE
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 BUNTS RD APT 108
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-2675
Mailing Address - Country:US
Mailing Address - Phone:440-691-7422
Mailing Address - Fax:
Practice Address - Street 1:1345 BUNTS RD APT 108
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-2675
Practice Address - Country:US
Practice Address - Phone:440-691-7422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171W00000XOther Service ProvidersContractor
No372600000XNursing Service Related ProvidersAdult Companion