IndividualActive
Destiny James
NPI 1780439687 · Exclusive Provider Organization · Bedford Hts, OH
Provider details
- NPI number
- 1780439687
- Entity type
- Individual
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
840 Broadway Ave Apt 307
Bedford Hts, OH 44146-3602
Phone: (216) 325-8716
Approximate (ZIP-level) locationGet directions
Mailing address
840 Broadway Ave Apt 307
Bedford Hts, OH 44146-3602
Registry dates
- Enumerated
- 2024-04-23
- Last updated
- 2024-04-23
- Certified
- 2024-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.