Healthcare Provider Details

I. General information

NPI: 1548666290
Provider Name (Legal Business Name): CARING HANDS & HEARTS ADULT DAY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2014
Last Update Date: 11/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E AUGLAIZE ST
WAPAKONETA OH
45895-1607
US

IV. Provider business mailing address

401 E AUGLAIZE ST
WAPAKONETA OH
45895-1607
US

V. Phone/Fax

Practice location:
  • Phone: 419-738-8333
  • Fax: 419-738-8334
Mailing address:
  • Phone: 419-738-8333
  • Fax: 419-738-8334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LISA MARIE MELLOTT
Title or Position: PRESIDENT
Credential: RN
Phone: 419-203-5548