Healthcare Provider Details

I. General information

NPI: 1366369076
Provider Name (Legal Business Name): LADONNA ELAINE SORRELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5685 OLD LOGAN RD SE
LANCASTER OH
43130-8859
US

IV. Provider business mailing address

5685 OLD LOGAN RD SE
LANCASTER OH
43130-8859
US

V. Phone/Fax

Practice location:
  • Phone: 740-215-6026
  • Fax:
Mailing address:
  • Phone: 740-215-6026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: