Individual
MRS. DEBRA KAY OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 SKYLINE DR, PIKETON, OH 45661-9771
(740) 443-6034
Mailing address
407 SKYLINE DR, PIKETON, OH 45661-9771
(740) 443-6034
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151840
—
OH
01
—
6601467
DODD CONTRACT NUMBER
OH
Enumeration date
09/28/2020
Last updated
09/28/2020
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