=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861646630
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STORY'S INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/06/2008
-----------------------------------------------------
Last Update Date | 09/14/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17410 POLING RD
-----------------------------------------------------
City | MARYSVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43040-8823
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-644-1444
-----------------------------------------------------
Fax | 888-859-8375
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17410 POLING RD
-----------------------------------------------------
City | MARYSVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43040-8823
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-644-1444
-----------------------------------------------------
Fax | 888-859-8375
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. SHERRY ANN STORY
-----------------------------------------------------
Credential | CSA
-----------------------------------------------------
Telephone | 937-644-1444
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------