Provider Demographics
NPI:1316408651
Name:EGGLETON, MAURICIA (HHA)
Entity Type:Individual
Prefix:
First Name:MAURICIA
Middle Name:
Last Name:EGGLETON
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18150 EUCLID AVE APT B6
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-1093
Mailing Address - Country:US
Mailing Address - Phone:216-512-5637
Mailing Address - Fax:
Practice Address - Street 1:18150 EUCLID AVE APT B6
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-1093
Practice Address - Country:US
Practice Address - Phone:216-512-5637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide