Individual provider · Type 1 NPI
Saretta Laniece Gordon-Edenburgh
Contractor · South Euclid, OH
Practice location
1405 Villa Dr
South Euclid, OH 44121-2903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | SM696161 (OH) |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
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About NPI 1619712825
Saretta Laniece Gordon-Edenburgh's National Provider Identifier is 1619712825, issued on Jun 28, 2024. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in South Euclid, OH. The record was last updated on Jun 28, 2024.