Rose Lucas

Individual provider Active NPI Personal Care Attendant · Dillonvale, OH

NPI 1023748282 · NPPES record last updated Jun 12, 2022

Key facts

NPI
1023748282
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
License
0000305340 (OH)
Practice address
1855 State Route 152
Dillonvale, OH 43917-7927
Phone
(740) 381-1785
NPI assigned
Jun 12, 2022
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0000305340OHMDPersonal Care Attendant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 0000305340 OH Yes

Addresses

Primary practice location

1855 State Route 152
Dillonvale, OH 43917-7927

Mailing address

1855 State Route 152
Dillonvale, OH 43917-7927
Phone (740) 381-1785

Other providers in Dillonvale, OH

All providers in Dillonvale, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.