Sue Balentine

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

NPI 1093312407 · NPPES record last updated Oct 8, 2020

Key facts

NPI
1093312407
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
1699 Woodland Dr
Coshocton, OH 43812-3152
Phone
(740) 622-1523
NPI assigned
Oct 8, 2020
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

1699 Woodland Dr
Coshocton, OH 43812-3152

Mailing address

1699 Woodland Dr
Coshocton, OH 43812-3152
Phone (740) 622-1523

Other providers in Coshocton, OH

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

Sources for this page

Verify at the official NPI Registry.