Provider Demographics
NPI:1871192393
Name:WOODS-CROSKEY, SHERRAY M
Entity Type:Individual
Prefix:
First Name:SHERRAY
Middle Name:M
Last Name:WOODS-CROSKEY
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 1:4008 ARDMORE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-2591
Mailing Address - Country:US
Mailing Address - Phone:216-570-0952
Mailing Address - Fax:
Practice Address - Street 1:4008 ARDMORE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44121-2591
Practice Address - Country:US
Practice Address - Phone:216-570-0952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant