Sally Joan Riley

Individual provider Active NPI Attendant Care Provider · Arcanum, OH

NPI 1992373625 · NPPES record last updated Aug 4, 2021

Key facts

NPI
1992373625
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
License
GTU7791 (OH)
Practice address
209 E George St
Arcanum, OH 45304-1321
Phone
(937) 623-2160
NPI assigned
Jun 17, 2021
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
GTU7791OHMDAttendant Care Provider

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider
Group: 193200000X MULTI-SPECIALTY GROUP
3747A0650X GTU7791 OH Yes

Addresses

Primary practice location

209 E George St
Arcanum, OH 45304-1321

Mailing address

209 E George St
Arcanum, OH 45304-1321
Phone (937) 623-2160

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sriley63@roadrunner.com Direct

Other providers in Arcanum, OH

All providers in Arcanum, OH · Attendant Care Provider in Ohio

Sources for this page

Verify at the official NPI Registry.