MEDICARE: SABRINA SUE HULSMEYER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1063267631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA SUE HULSMEYER

Provider Business Mailing Address
First Line	:	1 E BLOSSOM HILL RD
Second Line	:
City	:	WEST CARROLLTON
State	:	OH
Zip	:	45449-2051
Country	:	US
Telephone Number	:	937-371-0887
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 W 2ND ST STE 400
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45402-1873
Country	:	US
Telephone Number	:	937-341-6942
Fax Number	:	937-341-3005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2024
Last Update Date	:	04/18/2024

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Directions to “ SABRINA SUE HULSMEYER ” Practice Location

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