Provider Demographics
NPI:1851161889
Name:WOLFORD, CINDY ELEENE
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:ELEENE
Last Name:WOLFORD
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 1:49770 STATE HIGHWAY 194 E
Mailing Address - Street 2:
Mailing Address - City:MAJESTIC
Mailing Address - State:KY
Mailing Address - Zip Code:41547-8359
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:49770 STATE HIGHWAY 194 E
Practice Address - Street 2:
Practice Address - City:MAJESTIC
Practice Address - State:KY
Practice Address - Zip Code:41547-8359
Practice Address - Country:US
Practice Address - Phone:304-733-1094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant