Healthcare Provider Details

I. General information

NPI: 1316619265
Provider Name (Legal Business Name): ASIA HUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2021
Last Update Date: 09/29/2021
Certification Date: 09/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38516 OAK HILL LN APT 4
WILLOUGHBY OH
44094-7661
US

IV. Provider business mailing address

38516 OAK HILL LN APT 4
WILLOUGHBY OH
44094-7661
US

V. Phone/Fax

Practice location:
  • Phone: 121-663-3522
  • Fax:
Mailing address:
  • Phone: 121-663-3522
  • 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: