Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDONTRE MALIK DAUGHERTY
Active Sole ProprietorEDONTRE MALIK DAUGHERTY is a Home Health Aide healthcare provider located in ASHTABULA, Ohio. NPI 1205421872 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · ASHTABULA, OH
Registration Details
- NPI Number
- 1205421872
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2021 (5.4367478807307 yrs)
- Last Updated
- Mar 5, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
5722 KETCHAM AVEASHTABULA, OH, 440049779Browse OH providers · Browse ZIP 44004
- Phone
- 4408139675
- Primary Specialty
-
Home Health Aide
374U00000X
Other Home Health Aide Providers in ASHTABULA, OH
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM RAYMOND NEFF JR. | — | 1184656803 |
| MARK DEVITO | HOME HLTH CARE PROV | 1669537874 |
| MRS. MICHELLE RENEE MONTGOMERY | — | 1346375318 |
| BRIAN NEFF | — | 1407981061 |
| MS. DORIS ANN SESLER | — | 1740493360 |
| MRS. WENDY STEVENS | — | 1780897256 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.