Provider Demographics
NPI:1568097509
Name:HUGHES, WILLIE BELL
Entity Type:Individual
Prefix:
First Name:WILLIE
Middle Name:BELL
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:WILLIE
Other - Middle Name:BELL
Other - Last Name:HUGHES-BONNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PRIVATE PROVIDER
Mailing Address - Street 1:78 SOUTHWICK DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2624
Mailing Address - Country:US
Mailing Address - Phone:216-571-7567
Mailing Address - Fax:
Practice Address - Street 1:78 SOUTHWICK DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2624
Practice Address - Country:US
Practice Address - Phone:216-571-7567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide