Lillian Kathleen Fryman
Individual provider Active NPI Home Health Aide · Greenfield, OH
NPI 1609684158 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1609684158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 802 S 4TH St
Greenfield, OH 45123-1616 - Phone
- (937) 768-6086
- NPI assigned
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
802 S 4TH St
Greenfield, OH 45123-1616
Mailing address
802 S 4TH St
Greenfield, OH 45123-1616
Phone (937) 768-6086
Other providers in Greenfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.