Healthcare Provider Details

I. General information

NPI: 1275884843
Provider Name (Legal Business Name): BETTY'S HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2012
Last Update Date: 09/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 MEADOWLAWN WAY
FAIRFIELD OH
45014-3145
US

IV. Provider business mailing address

2103 MEADOWLAWN WAY ENTER YOUR ADDRESS LINE 2 HERE
FAIRFIELD OH
45014-3145
US

V. Phone/Fax

Practice location:
  • Phone: 513-546-6976
  • Fax:
Mailing address:
  • Phone: 513-546-6976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number146024
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number146024
License Number StateOH

VIII. Authorized Official

Name: MRS. AMBER MARIE LIGON
Title or Position: OWNER AND OPERATOR
Credential: LPN
Phone: 513-546-6976