Jimi Lou Hamons

Individual provider Active NPI Homemaker · Republic, OH

NPI 1548036023 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1548036023
Entity type
Individual (NPI type 1)
Primary specialty
Homemaker 376J00000X
Practice address
306 Washington St #P66
Republic, OH 44867-0066
Phone
(419) 208-5115
NPI assigned
Nov 27, 2023
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
Homemaker 376J00000X Yes

Addresses

Primary practice location

306 Washington St #P66
Republic, OH 44867-0066

Mailing address

306 Washington St #P66
Republic, OH 44867-0066
Phone (419) 208-5115

Other providers in Republic, OH

All providers in Republic, OH · Homemaker in Ohio

Sources for this page

Verify at the official NPI Registry.