Individual provider · Type 1 NPI
Clifford Chiles Craddock Ii
Nursing Home Administrator · Eaton, OH
NPI number
1497566400
Active
Practice location
411 E Wadsworth St
Eaton, OH 45320-2357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | 4118 (OH) |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
About NPI 1497566400
Clifford Chiles Craddock Ii's National Provider Identifier is 1497566400, issued on Jan 17, 2025. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Eaton, OH. The record was last updated on Jan 17, 2025.