Healthcare Provider Details

I. General information

NPI: 1952108235
Provider Name (Legal Business Name): BOBBIE SLEIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1204 WALNUT BLVD
ASHTABULA OH
44004-3254
US

IV. Provider business mailing address

1204 WALNUT BLVD
ASHTABULA OH
44004-3254
US

V. Phone/Fax

Practice location:
  • Phone: 440-813-9454
  • Fax:
Mailing address:
  • Phone: 440-813-9454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License NumberRF936026
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: