Provider Demographics
NPI:1609630615
Name:ALFORD, MICHELLE ELOISE
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ELOISE
Last Name:ALFORD
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 1:18320 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-1552
Mailing Address - Country:US
Mailing Address - Phone:216-395-9944
Mailing Address - Fax:
Practice Address - Street 1:18320 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-1552
Practice Address - Country:US
Practice Address - Phone:216-395-9944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care