Alyssa Lollathin

Individual provider Active NPI Personal Care Attendant · Bidwell, OH

NPI 1114500329 · NPPES record last updated May 5, 2021

Key facts

NPI
1114500329
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
11 Lakeview CT
Bidwell, OH 45614-9004
Phone
(740) 612-7478
NPI assigned
May 5, 2021
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
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

11 Lakeview CT
Bidwell, OH 45614-9004

Mailing address

11 Lakeview CT
Bidwell, OH 45614-9004
Phone (740) 612-7478

Other providers in Bidwell, OH

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

Sources for this page

Verify at the official NPI Registry.