Provider Demographics
NPI:1760143119
Name:HIXSON, LUJUANA MARIE (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:MS
First Name:LUJUANA
Middle Name:MARIE
Last Name:HIXSON
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4354 OUTHWAITE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44104-1376
Mailing Address - Country:US
Mailing Address - Phone:216-562-8484
Mailing Address - Fax:
Practice Address - Street 1:4354 OUTHWAITE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44104-1376
Practice Address - Country:US
Practice Address - Phone:216-562-8484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health