Healthcare Provider Details

I. General information

NPI: 1992848576
Provider Name (Legal Business Name): MRS. GRO STEELE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68075 STATE ROUTE 56
NEW PLYMOUTH OH
45654-8994
US

IV. Provider business mailing address

68075 ST.RT.56
NEW PLYMOUTH OH
45654-8994
US

V. Phone/Fax

Practice location:
  • Phone: 740-385-6795
  • Fax: 740-385-6795
Mailing address:
  • Phone: 740-385-6795
  • Fax: 740-385-6795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: