Provider Demographics
NPI:1033944582
Name:HOWARD, HAROLD HOLMES JR
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:HOLMES
Last Name:HOWARD
Suffix:JR
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 1:4832 DELEVAN DR
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-1016
Mailing Address - Country:US
Mailing Address - Phone:216-288-2862
Mailing Address - Fax:
Practice Address - Street 1:4832 DELEVAN DR
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-1016
Practice Address - Country:US
Practice Address - Phone:216-288-2862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty