Healthcare Provider Details

I. General information

NPI: 1427620152
Provider Name (Legal Business Name): STEPHANIE GRAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2021
Last Update Date: 07/13/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 3RD ST NW
STRASBURG OH
44680-1009
US

IV. Provider business mailing address

132 3RD ST NW
STRASBURG OH
44680-1009
US

V. Phone/Fax

Practice location:
  • Phone: 938-508-5530
  • Fax:
Mailing address:
  • Phone: 937-508-5530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: