Healthcare Provider Details

I. General information

NPI: 1326634361
Provider Name (Legal Business Name): RHONDA JO HUFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 12/14/2020
Certification Date: 12/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WARREN RD
OSTRANDER OH
43061
US

IV. Provider business mailing address

9313 MILLS RD
OSTRANDER OH
43061-9781
US

V. Phone/Fax

Practice location:
  • Phone: 740-816-1051
  • Fax:
Mailing address:
  • Phone: 740-816-1051
  • 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: