Individual
ROBERTA L ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
470 MANCHESTER AVE, YOUNGSTOWN, OH 44509-1709
(330) 979-1681
Mailing address
470 MANCHESTER AVE, YOUNGSTOWN, OH 44509-1709
(330) 979-1681
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7801847
OH
374U00000X
Home Health Aide
7801847
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801847
—
OH
Enumeration date
03/22/2018
Last updated
10/09/2021
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