Provider Demographics
NPI:1548869498
Name:ALLEN, CATHY J (PERSONAL CARE AIDE)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:J
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PERSONAL CARE AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 STATE ROUTE 125 LOT 137
Mailing Address - Street 2:
Mailing Address - City:AMELIA
Mailing Address - State:OH
Mailing Address - Zip Code:45102-9111
Mailing Address - Country:US
Mailing Address - Phone:513-739-1859
Mailing Address - Fax:
Practice Address - Street 1:2191 STATE ROUTE 125 LOT 137
Practice Address - Street 2:
Practice Address - City:AMELIA
Practice Address - State:OH
Practice Address - Zip Code:45102-9111
Practice Address - Country:US
Practice Address - Phone:513-739-1859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health