Provider Demographics
NPI:1902552615
Name:FORD, JOAN M
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:M
Last Name:FORD
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 1:8023 TREE LAKE BLVD # 43065
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-6918
Mailing Address - Country:US
Mailing Address - Phone:740-881-0632
Mailing Address - Fax:
Practice Address - Street 1:8023 TREE LAKE BLVD # 43065
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-6918
Practice Address - Country:US
Practice Address - Phone:740-881-0632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty