Shaye Joeonna Elsaesser
In Home Supportive Care in Chippewa Lake, OH. Individual provider (NPI-1).
NPI number1417763566
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1417763566
- Entity type
- Individual (NPI-1)
- Name
- Shaye Joeonna Elsaesser
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 4, 2024
- Certification date
- Dec 4, 2024
- Last updated
- Dec 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | OH | Yes |
| 172A00000X | Driver | – | – |
Practice location
54 Willowwood DrChippewa Lake, OH 44215-9643
Phone 315-261-8105
Mailing address
54 Willowwood DrChippewa Lake, OH 44215-9643
Phone 315-261-8105
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