Individual provider · Type 1 NPI

Russell Walter Widdows

Attendant Care Provider · Cleveland, OH

NPI number 1255902235 Active

Practice location

14801 Triskett Rd
Cleveland, OH 44111-3193

Call (216) 399-3492 Map

Fax (216) 938-8733

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1255902235

Russell Walter Widdows's National Provider Identifier is 1255902235, issued on Jul 9, 2021. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Cleveland, OH. The record was last updated on Jul 9, 2021.