Holly Horning

Individual provider Active NPI Personal Care Attendant · Seaman, OH

NPI 1609995083 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1609995083
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
License
2367611 (OH)
Practice address
2100 Big Woods Rd
Seaman, OH 45679-9405
Phone
(937) 386-1789
NPI assigned
Mar 28, 2007
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
2367611OHMDPersonal Care Attendant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 2367611 OH Yes

Addresses

Primary practice location

2100 Big Woods Rd
Seaman, OH 45679-9405

Mailing address

2100 Big Woods Rd
Seaman, OH 45679-9405

Other identifiers

IdentifierTypeStateIssuer
2367611MedicaidOH

Other providers in Seaman, OH

All providers in Seaman, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.