Healthcare Provider Details
I. General information
NPI: 1467149369
Provider Name (Legal Business Name): STEPS AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2023
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
310 S FRONT ST STE 1
FREMONT OH
43420-3086
US
IV. Provider business mailing address
310 S FRONT ST STE 1
FREMONT OH
43420-3086
US
V. Phone/Fax
- Phone: 567-201-2320
- Fax: 567-201-2321
- Phone: 567-201-2320
- Fax: 567-201-2321
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JACKIE
ANN
BRUCE
Title or Position: PRESIDENT
Credential:
Phone: 567-201-9423