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NPI Code Detail

MEDICARE: MRS. DELORIS KAY HERGET

MEDICARE: MRS. DELORIS KAY HERGET
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
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295948628
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DELORIS KAY HERGET
Provider Business Mailing Address
First Line : 1980 COUNTY ROAD 15
Second Line :
City : SOUTH POINT
State : OH
Zip : 45680-7638
Country : US
Telephone Number : 740-377-9322
Fax Number :
Provider Business Practice Location Address
First Line : 7734 COUNTY ROAD 1
Second Line :
City : SOUTH POINT
State : OH
Zip : 45680-7822
Country : US
Telephone Number : 740-894-0108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 07/08/2007

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