Laura Blakemore

Individual provider Active NPI Case Manager/Care Coordinator · Rossford, OH

NPI 1558080366 · NPPES record last updated Aug 24, 2022

Key facts

NPI
1558080366
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
690 Dixie Hwy
Rossford, OH 43460-1221
Phone
(419) 297-3490
NPI assigned
Aug 24, 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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

690 Dixie Hwy
Rossford, OH 43460-1221

Mailing address

445 E Dublin Granville Rd
Worthington, OH 43085-3192

Other identifiers

IdentifierTypeStateIssuer
2615030MedicaidOH

Other providers in Rossford, OH

All providers in Rossford, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.