Healthcare Provider Details

I. General information

NPI: 1386488674
Provider Name (Legal Business Name): NATASHA BAILEY LNHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1458 WILDERNESS DR
MAUMEE OH
43537-2621
US

IV. Provider business mailing address

3064 COUNTY ROAD V
LIBERTY CENTER OH
43532
US

V. Phone/Fax

Practice location:
  • Phone: 419-460-3128
  • Fax:
Mailing address:
  • Phone: 419-277-3804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: