Provider Demographics
NPI:1548017833
Name:LANGFORD, KATRINA L
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:L
Last Name:LANGFORD
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 1:7656 BROADVIEW RD APT 116
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-6725
Mailing Address - Country:US
Mailing Address - Phone:216-971-2175
Mailing Address - Fax:
Practice Address - Street 1:7656 BROADVIEW RD APT 116
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-6725
Practice Address - Country:US
Practice Address - Phone:216-971-2175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRS8727303747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant