Healthcare Provider Details

I. General information

NPI: 1821810359
Provider Name (Legal Business Name): SAUL LIMON MEZA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 10/28/2024
Certification Date: 10/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11352 BAKER RD
SAINT LOUISVILLE OH
43071-9798
US

IV. Provider business mailing address

11352 BAKER RD
SAINT LOUISVILLE OH
43071-9798
US

V. Phone/Fax

Practice location:
  • Phone: 740-745-2785
  • Fax:
Mailing address:
  • Phone: 740-745-2785
  • Fax:

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: