Samantha Magoto

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

NPI 1023729456 · NPPES record last updated Dec 6, 2022

Key facts

NPI
1023729456
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
117 N Main St
Laura, OH 45337-9727
Phone
(937) 654-6309
NPI assigned
Dec 6, 2022
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
Homemaker 376J00000X
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

117 N Main St
Laura, OH 45337-9727

Mailing address

117 N Main St
Laura, OH 45337-9727
Phone (937) 654-6309

Other providers in Laura, OH

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

Sources for this page

Verify at the official NPI Registry.