Dameisha La'Trease Foreman
In Home Supportive Care in Holland, OH. Individual provider (NPI-1).
NPI number1063200319
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1063200319
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Dameisha La'Trease Foreman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 28, 2025
- Certification date
- Apr 28, 2025
- Last updated
- Apr 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | OH | Yes |
| 172A00000X | Driver | – | OH |
Practice location
305 Oak Red CtHolland, OH 43528-9074
Phone 419-708-0879
Mailing address
305 Oak Red CtHolland, OH 43528-9074
Phone 419-708-0879
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All 10 In Home Supportive Care Agency providers in Holland · All 516 providers in Holland
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