| Kingdom Developers Consulting Inc | |
|
2121 S Green Rd Suite 213 South Euclid OH 44121-3338 | |
| (440) 364-9171 | |
| (440) 542-1127 |
| Full Name | Kingdom Developers Consulting Inc |
|---|---|
| Speciality | Social Worker |
| Location | 2121 S Green Rd, South Euclid, Ohio |
| Authorized Official Name and Position | Nichole M Cobb (PRESIDENT) |
| Authorized Official Contact | 4403649171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Developers Consulting Inc 2121 S Green Rd Suite 213 South Euclid OH 44121-3338 Ph: (440) 364-9171 | Kingdom Developers Consulting Inc 2121 S Green Rd Suite 213 South Euclid OH 44121-3338 Ph: (440) 364-9171 |
| NPI Number | 1730468463 |
|---|---|
| Provider Enumeration Date | 08/11/2011 |
| Last Update Date | 09/18/2012 |
| Medicare PECOS PAC ID | 7214109503 |
|---|---|
| Medicare Enrollment ID | O20111010000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730468463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nichole M Cobb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043512098 PECOS PAC ID: 2567650328 Enrollment ID: I20101220001202 |
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