Johnathan Bailey
Home Health Aide in Lore City, OH. Individual provider (NPI-1).
NPI number1114630100
StatusActive
Last updated in NPPESSep 29, 2023
Details
- NPI
- 1114630100
- Entity type
- Individual (NPI-1)
- Name
- Johnathan Bailey
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2023
- Certification date
- Sep 29, 2023
- Last updated
- Sep 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | OH | Yes |
Practice location
63171 Institute RdLore City, OH 43755-9754
Phone 740-255-1005
Mailing address
63171 Institute RdLore City, OH 43755-9754
Phone 740-255-1005
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