Individual
AMANDA JEAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 W MAIN ST, WEST UNION, OH 45693-1303
(800) 582-7277
Mailing address
2104 WINTERSTEEN RUN RD, BLUE CREEK, OH 45616-9735
(937) 544-0203
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
77156026
OH
3747P1801X
Personal Care Attendant
Primary
77156026
OH
374U00000X
Home Health Aide
77156026
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275359663
—
OH
05
—
3747P1801X
—
OH
Enumeration date
12/02/2024
Last updated
01/29/2026
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