Healthcare Provider Details

I. General information

NPI: 1346966868
Provider Name (Legal Business Name): SARAH P SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 BEAR TRACK DR
WILLIAMSBURG OH
45176-8253
US

IV. Provider business mailing address

8050 BECKETT CENTER DR
WEST CHESTER OH
45069-5017
US

V. Phone/Fax

Practice location:
  • Phone: 513-742-7797
  • Fax:
Mailing address:
  • Phone: 513-389-7634
  • Fax: 513-389-7633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberM0800735
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: