Staci Lee Dyer
Home Health Aide in Portsmouth, OH. Individual provider (NPI-1).
NPI number1770200388
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1770200388
- Entity type
- Individual (NPI-1)
- Name
- Staci Lee Dyer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2022
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | rq495213 | OH | Yes |
| 3747A0650X | Technician, Attendant Care Provider | rq495213 | OH |
Practice location
1199 Dutch Ridge RdPortsmouth, OH 45662-9032
Phone 740-981-7944
Mailing address
1199 Dutch Ridge RdPortsmouth, OH 45662-9032
Phone 740-981-7944
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