Healthcare Provider Details

I. General information

NPI: 1225103823
Provider Name (Legal Business Name): MRS. ANGELA GAYLE PORTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA GAYLE DINGESS

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1122 BOREN BLVD APT. E
WHEELERSBURG OH
45694-9251
US

IV. Provider business mailing address

1122 BOREN BLVD APT. E
WHEELERSBURG OH
45694-9251
US

V. Phone/Fax

Practice location:
  • Phone: 740-357-2983
  • Fax:
Mailing address:
  • Phone: 740-357-2983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: