Provider Demographics
NPI:1962963108
Name:PDN OPTIONS FOR QUALITY CARE
Entity type:Organization
Organization Name:PDN OPTIONS FOR QUALITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:INGER
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:216-326-5647
Mailing Address - Street 1:18339 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:WALTON HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-5050
Mailing Address - Country:US
Mailing Address - Phone:216-326-5647
Mailing Address - Fax:440-252-5030
Practice Address - Street 1:18339 JEFFERSON DR
Practice Address - Street 2:
Practice Address - City:WALTON HILLS
Practice Address - State:OH
Practice Address - Zip Code:44146-5050
Practice Address - Country:US
Practice Address - Phone:216-326-5647
Practice Address - Fax:440-252-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health