Healthcare Provider Details

I. General information

NPI: 1265650154
Provider Name (Legal Business Name): MRS. ALFREDA ANN HUGHES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 TOWNSHIP ROAD 1361
CHESAPEAKE OH
45619-7099
US

IV. Provider business mailing address

48 TOWNSHIP ROAD 1361
CHESAPEAKE OH
45619-7099
US

V. Phone/Fax

Practice location:
  • Phone: 740-894-2173
  • Fax:
Mailing address:
  • Phone: 740-894-2173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: