Individual provider · Type 1 NPI
Jetton Freeman
Meals Provider · Cleveland, OH
NPI number
1679154389
Active
Practice location
4338 E 71st St
Cleveland, OH 44105-5762
Mailing address
15311 Edgewood Ave
Maple Heights, OH 44137-3903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | RT637221 (OH) |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Another provider at this address
Other meals provider providers in Cleveland
About NPI 1679154389
Jetton Freeman's National Provider Identifier is 1679154389, issued on Apr 15, 2021. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Cleveland, OH. The record was last updated on Apr 15, 2021.