Michele Lynn Arnold

Individual provider Active NPI Child Physical Disabilities Respite Care · Centerville, OH

NPI 1306448261 · NPPES record last updated Nov 14, 2020

Key facts

NPI
1306448261
Entity type
Individual (NPI type 1)
Primary specialty
Child Physical Disabilities Respite Care 385HR2065X
License
910000896668 (OH)
Practice address
358 Lightbeam Dr
Centerville, OH 45458-3630
Phone
(281) 543-7437
NPI assigned
Nov 14, 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

State licenses

LicenseStateTypeSpecialty
910000896668OHMDChild Physical Disabilities Respite Care

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Child Physical Disabilities Respite Care 385HR2065X 910000896668 OH Yes

Addresses

Primary practice location

358 Lightbeam Dr
Centerville, OH 45458-3630

Mailing address

358 Lightbeam Dr
Centerville, OH 45458-3630
Phone (281) 543-7437

Other identifiers

IdentifierTypeStateIssuer
5718740MedicaidOH
910000896668MedicaidOH

Other providers in Centerville, OH

All providers in Centerville, OH · Child Physical Disabilities Respite Care in Ohio

Sources for this page

Verify at the official NPI Registry.