Healthcare Provider Details

I. General information

NPI: 1871329771
Provider Name (Legal Business Name): BETH A INSALACO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8852 N LEROY RD
WESTFIELD CENTER OH
44251-9747
US

IV. Provider business mailing address

PO BOX 648
WESTFIELD CENTER OH
44251-0648
US

V. Phone/Fax

Practice location:
  • Phone: 330-289-6022
  • Fax:
Mailing address:
  • Phone: 330-289-6022
  • 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: