Rose Wall
Individual provider Active NPI Homemaker · Lake Milton, OH
NPI 1750155461 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1750155461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 17791 Denver Dr
Lake Milton, OH 44429-9736 - Phone
- (330) 813-8240
- NPI assigned
- Nov 13, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
17791 Denver Dr
Lake Milton, OH 44429-9736
Mailing address
17791 Denver Dr
Lake Milton, OH 44429-9736
Phone (330) 813-8240
Other providers in Lake Milton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2023. 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.