Provider Demographics
NPI:1184383135
Name:OKOROAFOR, PATRICK O
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:O
Last Name:OKOROAFOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 ROCKY RIVER DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44135-2504
Mailing Address - Country:US
Mailing Address - Phone:216-672-8981
Mailing Address - Fax:
Practice Address - Street 1:36455 PETTIBONE RD
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-5104
Practice Address - Country:US
Practice Address - Phone:216-672-8981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health