Provider Demographics
NPI:1417774274
Name:SEVEKESE, PLAMEDI MOFOWA
Entity type:Individual
Prefix:
First Name:PLAMEDI
Middle Name:MOFOWA
Last Name:SEVEKESE
Suffix:
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 1:11588 ISLANDALE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2340
Mailing Address - Country:US
Mailing Address - Phone:323-447-6110
Mailing Address - Fax:
Practice Address - Street 1:11588 ISLANDALE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-2340
Practice Address - Country:US
Practice Address - Phone:323-447-6110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No385H00000XRespite Care FacilityRespite Care
No376K00000XNursing Service Related ProvidersNurse's Aide