Manda Schmidt

Individual provider Active NPI In Home Supportive Care Agency · Payne, OH

NPI 1003662453 · NPPES record last updated Apr 26, 2024

Key facts

NPI
1003662453
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
401 E Orchard St
Payne, OH 45880-9493
Phone
(419) 771-3401
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

401 E Orchard St
Payne, OH 45880-9493

Mailing address

401 E Orchard St
Payne, OH 45880-9493
Phone (419) 771-3401

Other providers in Payne, OH

All providers in Payne, OH · In Home Supportive Care Agency in Ohio

Sources for this page

Verify at the official NPI Registry.