Nicole Dunn

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

NPI 1134875719 · NPPES record last updated Feb 23, 2022

Key facts

NPI
1134875719
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
410 S Fayette St
Fayette, OH 43521-9785
Phone
(567) 454-9619
NPI assigned
Feb 23, 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
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

410 S Fayette St
Fayette, OH 43521-9785

Mailing address

410 S Fayette St
Fayette, OH 43521-9785

Other providers in Fayette, OH

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

Sources for this page

Verify at the official NPI Registry.