MEDICARE: ANGELA D ONDRECK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1053081661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA D ONDRECK

Provider Business Mailing Address
First Line	:	7360 CEDAR KNOLLS DR
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-3252
Country	:	US
Telephone Number	:	937-524-9572
Fax Number	:

Provider Business Practice Location Address
First Line	:	7360 CEDAR KNOLLS DR
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-3252
Country	:	US
Telephone Number	:	937-524-9572
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2021
Last Update Date	:	09/15/2021

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Directions to “ ANGELA D ONDRECK ” Practice Location

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