Organization
JUDY M CANTRELL
Active
Other names
home health aide
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JUDY MAY CANTRELL (PROVIDOR)
(740) 354-5711
Entity
Organization
Contact information
Practice address
3002 WALNUT ST, PORTSMOUTH, OH 45662-4830
(740) 354-5711
(740) 355-1980
Mailing address
3002 WALNUT ST, PORTSMOUTH, OH 45662-4830
(740) 354-5711
(740) 355-1980
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IO PROVIDOR
NEED NEW NPI #
—
Enumeration date
05/09/2007
Last updated
09/11/2025
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