Provider Demographics
NPI:1598128852
Name:CARMEN MCCURDY
Entity Type:Organization
Organization Name:CARMEN MCCURDY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT CAREGIVER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-205-2597
Mailing Address - Street 1:1939 GREEN RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1159
Mailing Address - Country:US
Mailing Address - Phone:216-205-2597
Mailing Address - Fax:
Practice Address - Street 1:1939 GREEN RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44121-1159
Practice Address - Country:US
Practice Address - Phone:216-205-2597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-03
Last Update Date:2016-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty