Healthcare Provider Details

I. General information

NPI: 1356204267
Provider Name (Legal Business Name): YVONNE MAY EDWARDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 PAINE ST
HAMDEN OH
45634-5045
US

IV. Provider business mailing address

106 PAINE ST
HAMDEN OH
45634-5045
US

V. Phone/Fax

Practice location:
  • Phone: 740-601-3537
  • Fax:
Mailing address:
  • Phone: 740-601-3537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: