Healthcare Provider Details
I. General information
NPI: 1457082232
Provider Name (Legal Business Name): WENDY DAWN GALIHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/22/2022
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6578 WINEGARDNER RD NW
RUSHVILLE OH
43150-9605
US
IV. Provider business mailing address
9861 TOWNSHIP ROAD 57 NE
ROSEVILLE OH
43777-9651
US
V. Phone/Fax
- Phone: 740-319-8204
- Fax:
- Phone: 740-319-8204
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: