Provider Demographics
NPI:1346931896
Name:THOMAS, MALINDA JOYCE
Entity Type:Individual
Prefix:
First Name:MALINDA
Middle Name:JOYCE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 CRESSWELL AVE
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2007
Mailing Address - Country:US
Mailing Address - Phone:440-439-5493
Mailing Address - Fax:
Practice Address - Street 1:69 CRESSWELL AVE
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2007
Practice Address - Country:US
Practice Address - Phone:440-439-5493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health