Individual
MS. SHERAH EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8281 PINEY ORCH, BLACKLICK, OH 43004-8351
(937) 478-8518
(614) 845-8713
Mailing address
8281 PINEY ORCH, BLACKLICK, OH 43004-8351
(937) 478-8518
(614) 845-8713
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
0203373
OH
3747P1801X
Personal Care Attendant
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203373
—
OH
Enumeration date
03/23/2017
Last updated
04/07/2017
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