Provider Demographics
NPI:1679500987
Name:MADEJ, JOYCE CAROL
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:CAROL
Last Name:MADEJ
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 1:1233 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-1664
Mailing Address - Country:US
Mailing Address - Phone:330-376-2070
Mailing Address - Fax:
Practice Address - Street 1:1233 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-1664
Practice Address - Country:US
Practice Address - Phone:330-376-2070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2164974Medicaid