Individual
ELIZABETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MONTROSE WEST AVE APT 1314, COPLEY, OH 44321-1595
(530) 519-5867
Mailing address
120 MONTROSE WEST AVE APT 1314, COPLEY, OH 44321-1595
(530) 519-5867
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
OH
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
OH
347C00000X
Private Vehicle
—
OH
3747P1801X
Personal Care Attendant
—
OH
376J00000X
Homemaker
—
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
OH
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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