Willows Premier Home Care Agency, LLC
Nurse Practitioner, Gerontology in Fairfield Township, OH. Organization (NPI-2).
NPI number1982508222
StatusActive
Last updated in NPPESOct 7, 2026
Details
- NPI
- 1982508222
- Entity type
- Organization (NPI-2)
- Legal business name
- Willows Premier Home Care Agency, LLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2026
- Certification date
- Oct 7, 2026
- Last updated
- Oct 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | – | – | Yes |
Practice location
5713 White Pine LnFairfield Township, OH 45011-4588
Phone 513-345-0729
Mailing address
5713 White Pine LnFairfield Township, OH 45011-4588
Phone 513-345-0729
Authorized official
Gwendolyn Baugh
Partner
5133450729
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