Connie Lee Allen

Individual provider Active NPI Attendant Care Provider · Middle Point, OH

NPI 1154032613 · NPPES record last updated Dec 6, 2022

Key facts

NPI
1154032613
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
201 N Adams STR
Middle Point, OH 45863-4586
Phone
(419) 771-3213
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
Attendant Care Provider
Group: 193400000X SINGLE SPECIALTY GROUP
3747A0650X Yes

Addresses

Primary practice location

201 N Adams STR
Middle Point, OH 45863-4586

Mailing address

PO Box 326
Middle Point, OH 45863-0326
Phone (419) 771-3213

Other providers in Middle Point, OH

All providers in Middle Point, OH · Attendant Care Provider in Ohio

Sources for this page

Verify at the official NPI Registry.