Provider Demographics
NPI:1902589088
Name:FREEMAN, WILLISHIA MON'E
Entity Type:Individual
Prefix:
First Name:WILLISHIA
Middle Name:MON'E
Last Name:FREEMAN
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 1:4818 WALFORD RD APT 102
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5158
Mailing Address - Country:US
Mailing Address - Phone:216-346-5889
Mailing Address - Fax:
Practice Address - Street 1:4818 WALFORD RD APT 102
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5158
Practice Address - Country:US
Practice Address - Phone:216-346-5889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant