Healthcare Provider Details
I. General information
NPI: 1508458092
Provider Name (Legal Business Name): DEBRA J FOIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/07/2021
Last Update Date: 01/01/2024
Certification Date: 01/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2771 STATE ROUTE 14
ROOTSTOWN OH
44272-9801
US
IV. Provider business mailing address
2771 STATE ROUTE 14
ROOTSTOWN OH
44272-9801
US
V. Phone/Fax
- Phone: 330-428-5446
- Fax: 330-428-5446
- Phone: 330-428-5446
- Fax: 330-428-5446
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: