Provider Demographics
NPI:1982431367
Name:HUDSON, ALBERT D
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:D
Last Name:HUDSON
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 1:13700 WOLF AVE # 44125
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-6013
Mailing Address - Country:US
Mailing Address - Phone:216-860-8120
Mailing Address - Fax:
Practice Address - Street 1:13700 WOLF AVE # 44125
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-6013
Practice Address - Country:US
Practice Address - Phone:216-860-8120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty