MR. RODERICK J BACON NPI 1750604302

NPI Information

MR. Roderick J Bacon is a homemaker in Shaker Heights, OH. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. MR. Roderick J Bacon NPI is 1750604302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18401 WINSLOW RD
SHAKER HEIGHTS, OH
ZIP 44122-800
Phone: (216) 324-4779

The enumeration date for this NPI number is 3/11/2010 and was last updated on 3/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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